=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043943988
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GSCS MANAGEMENT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2022
-----------------------------------------------------
Last Update Date | 10/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7950 E ACOMA DR STE 203
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-6964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-275-7200
-----------------------------------------------------
Fax | 480-378-2899
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7950 E ACOMA DR STE 203
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85260-6964
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-275-7200
-----------------------------------------------------
Fax | 480-378-2899
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. DUSTIN C JACKSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 480-275-7200
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------