Mike W Gibson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

804211277 Issued in TX

Practice address

617 N Ebrite St
Mesquite, TX 75149-3453

Phone

(972) 850-9945

Fax

(972) 546-1872

NPI assigned

Oct 4, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Home Base Transportation

  • Secured Medical Transport (VAN)
  • Mesquite, TX
  • NPI 1144945577

  Non-Emergency Medical Transport (Van)

  NPD Authorized official
• Miloc Corporation

  dba Griswold Home Care Mesquite Office

  • In Home Supportive Care Agency
  • Mesquite, TX
  • NPI 1326388711
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1003588427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N EBRITE ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493453",
            "telephone_number": "972-571-9273",
            "fax_number": "866-496-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N EBRITE ST",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493453",
            "telephone_number": "972-850-9945",
            "fax_number": "972-546-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MIKE",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "804211277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326388711",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.HomebaseTransportation.com",
            "affiliation": "Y",
            "endpointDescription": "NEMT",
            "affiliationName": "MiLoC Corporation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "617 N Ebrite St",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751493453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan George
• Varghese George, DDS
• Gerald Anakwenze (White Rock EMS)
• Getting Mental Therapy Services PLLC
• Neha Ghael, DO
• Shunteria Elizabeth Gibson
• Gideon Healthcare Group Inc. (Angel Home Healthcare Services)
• Gideon Home Health Inc
• Gideons Luxury Closet
• Steven Gieser, M.D.

• Non-emergency Medical Transport (VAN) in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.