Organization Active NPI

Gisheys Patient Care LLC

  • Adult Care Home Facility
  • Phoeniz, AZ
National Provider Identifier
1104120328
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GISHEYS PATIENT CARE LLC
Practice address
7232 South 12TH Place
Phoeniz, AZ 85042
Phone
(480) 580-8784
Fax
(602) 606-2705
NPI assigned
Jan 3, 2011
Last updated
Jan 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Ms. Bryanna Woody, M.A.
Title
Medical Assistant
Phone
(480) 580-8784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

7232 South 12TH Place
Phoeniz, AZ 85042

Mailing address

7232 S 12TH PL
Phoenix, AZ 85042-5683
Phone (480) 580-8784

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1104120328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 S 12TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425683",
            "telephone_number": "480-580-8784",
            "fax_number": "602-606-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7232 SOUTH 12TH PLACE",
            "city": "PHOENIZ",
            "state": "AZ",
            "postal_code": "85042",
            "telephone_number": "480-580-8784",
            "fax_number": "602-606-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISHEYS PATIENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "BRYANNA",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "480-580-8784",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoeniz, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.