Active NPI
Gibbs Consulting Services, LLC
- Case Management Agency
- Phila, PA
National Provider Identifier
1083029391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GIBBS CONSULTING SERVICES, LLC
- Practice address
- 2910 N 20TH St
Phila, PA 19132-1503 - Phone
- (215) 620-4766
- NPI assigned
- Jun 25, 2014
- Last updated
- Jun 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andre M Gibbs
- Title
- Owner
- Phone
- (215) 620-4766
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | PA | Primary | |
| Case Manager/Care Coordinator | 171M00000X | PA |
Addresses
Primary practice location
2910 N 20TH St
Phila, PA 19132-1503
Mailing address
2910 N 20TH St
Phila, PA 19132-1503
Phone (215) 620-4766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403654400000",
"number": "1083029391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 N 20TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191321503",
"telephone_number": "215-620-4766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 N 20TH ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191321503",
"telephone_number": "215-620-4766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBBS CONSULTING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A",
"authorized_official_last_name": "GIBBS",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-620-4766",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "PA",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.