NPI Code Detail JSON Logo

1558297663 NPI number — GIBSON CARE LLC

NPI Number: 1558297663
Health Care Provider/Practitioner: GIBSON CARE LLC

Information about “1558297663” NPI (GIBSON CARE LLC) exists in 1558297663 in HTML format HTML  |  1558297663 in plain Text format TXT  |  1558297663 in PDF (Portable Document Format) PDF  |  1558297663 in an XML format XML  formats.

NPI Number : 1558297663 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558297663",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GIBSON CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1502 E OSBORN RD APT 107",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85014-5312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-266-9020",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1502 E OSBORN RD APT 107",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PHOENIX",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85014-5312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-266-9020",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/18/2026",
    "LastUpdateDate": "06/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GIBSON",
    "AuthorizedOfficialFirstName": "DORLEY",
    "AuthorizedOfficialMiddleName": "TARNUE",
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "480-266-9020",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0100X",
        "TaxonomyName": "Health Service Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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