Organization Active NPI

Gillman Business Development Services, LLC

  • Nursing Care Agency
  • Riverside, CA
National Provider Identifier
1124800107
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GILLMAN BUSINESS DEVELOPMENT SERVICES, LLC
Practice address
7177 Brockton Ave Ste 445
Riverside, CA 92506-2635
Phone
(951) 858-5439
NPI assigned
Oct 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Mr. Gary Warren Gillman Jr.
Title
Ceo
Phone
(951) 858-5439

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

7177 Brockton Ave Ste 445
Riverside, CA 92506-2635

Mailing address

7450 Chateau Ridge LN
Riverside, CA 92506-7545
Phone (951) 858-5439

Other names 1

  • Interim Healthcare of Riverside Doing business as

National Provider Directory

National Provider Directory

Locations

7177 Brockton Ave
Ste 445
Riverside, CA 92506
Phone (951) 858-5439

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1124800107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 CHATEAU RIDGE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925067545",
            "telephone_number": "951-858-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 445",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062635",
            "telephone_number": "951-858-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLMAN BUSINESS DEVELOPMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-858-5439",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Riverside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.