MEDICARE: GILLESPIE WORLD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1326990409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILLESPIE WORLD LLC

Provider Business Mailing Address
First Line	:	1711 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2752
Country	:	US
Telephone Number	:	626-529-4243
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2752
Country	:	US
Telephone Number	:	626-529-4243
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	TOMMY GILLESPIE
Credential	:
Telephone Number	:	626-529-4243

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “GILLESPIE WORLD LLC ” Practice Location

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