Active NPI
Grumbles Geriatric Home Visits Program, PLLC
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Galveston, TX
National Provider Identifier
1154076438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Legal business name
- GRUMBLES GERIATRIC HOME VISITS PROGRAM, PLLC
- Practice address
- 1908 Post Office St
Galveston, TX 77550-2008 - Phone
- (409) 682-3863
- NPI assigned
- Feb 15, 2022
- 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
- Loretta Grumbles, MD
- Title
- Adminisstrator
- Phone
- (409) 682-3863
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | Primary |
Addresses
Primary practice location
1908 Post Office St
Galveston, TX 77550-2008
Mailing address
PO Box 2283
Sugar Land, TX 77487-2283
Phone (409) 682-3863
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664928000000",
"number": "1154076438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2283",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774872283",
"telephone_number": "409-682-3863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 POST OFFICE ST",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775502008",
"telephone_number": "409-682-3863"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRUMBLES GERIATRIC HOME VISITS PROGRAM, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A",
"authorized_official_last_name": "GRUMBLES",
"authorized_official_first_name": "LORETTA",
"authorized_official_title_or_position": "ADMINISSTRATOR",
"authorized_official_telephone_number": "409-682-3863",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.