Organization Active NPI

Gos Operator LLC

Doing business as Gordon Oaks Healthcare Center

  • Skilled Nursing Facility
  • Mobile, AL
National Provider Identifier
1164668059
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5525 (NH) Issued in AL
Legal business name
GOS OPERATOR LLC
Doing business as
Gordon Oaks Healthcare Center
Practice address
3151A Knollwood Dr
Mobile, AL 36693-2745
Phone
(251) 661-7608
Fax
(251) 602-9146
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Authorized official

Name
Gerald B. McAuliffe
Title
Administrator
Phone
(251) 661-7608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5525 (NH) AL Primary
Skilled Nursing Facility 314000000X 5527 (SCALF) AL

Addresses

Primary practice location

3151A Knollwood Dr
Mobile, AL 36693-2745

Mailing address

3151A Knollwood Dr
Mobile, AL 36693-2745
Phone (251) 661-7608

Other identifiers 1

IdentifierTypeStateIssuer
47-579905MedicaidAL

Other names 1

  • Gordon Oaks Healthcare Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326585600000",
    "number": "1164668059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151A KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932745",
            "telephone_number": "251-661-7608",
            "fax_number": "251-602-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151A KNOLLWOOD DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932745",
            "telephone_number": "251-661-7608",
            "fax_number": "251-602-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOS OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2012-01-15",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "251-661-7608"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "5525 (NH)",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "5527 (SCALF)",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-579905",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Oaks Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2012; 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.