NPIMap

Organization Active NPI

Gsis Integrated

  • Cardiac Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1104125897
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
License
RN67349 Issued in NV
Legal business name
GSIS INTEGRATED
Practice address
4275 Burnham Avenue
Ste. 255
Las Vegas, NV 89119
Phone
(702) 380-1060
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Joy Gob, RN
Title
Administrator
Phone
(702) 380-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X RN67349 NV Primary

Addresses

Primary practice location

4275 Burnham Avenue
Ste. 255
Las Vegas, NV 89119

Mailing address

PO Box 777851
Henderson, NV 89077-7851
Phone (702) 893-3333

National Provider Directory

National Provider Directory
Tax ID family
Good Sheperd Rebilitation5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1104125897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777851",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890777851",
            "telephone_number": "702-893-3333",
            "fax_number": "702-893-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVENUE",
            "address_2": "STE. 255",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-380-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSIS INTEGRATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "GOB",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-380-1060",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NV",
            "license": "RN67349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.