NPIMap

Organization Active NPI

GSM Healthcare Service,LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Hacienda Heights, CA
National Provider Identifier
1063958668
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GSM HEALTHCARE SERVICE,LLC
Practice address
15125 Gale Ave
Hacienda Heights, CA 91745-1407
Phone
(626) 330-4048
Fax
(626) 330-7458
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Ms. Grace S Mercado
Title
Executive Director
Phone
(626) 304-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

15125 Gale Ave
Hacienda Heights, CA 91745-1407

Mailing address

445 S Fair Oaks Ave Ste M10
Pasadena, CA 91105-2632
Phone (626) 304-6900

Other names 1

  • HELEN EVANS HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
GSM Healthcare Service LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1063958668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S FAIR OAKS AVE STE M10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052632",
            "telephone_number": "626-304-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 GALE AVE",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917451407",
            "telephone_number": "626-330-4048",
            "fax_number": "626-330-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSM HEALTHCARE SERVICE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-304-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HELEN EVANS HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.