Gaia Enterprises Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GAIA ENTERPRISES INC

Practice address

286 Front St
South Portland, ME 04106-1558

Phone

(207) 799-2237

Fax

(207) 799-0217

NPI assigned

Aug 23, 2009

Organization subpart

No

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

Authorized official

Name

Kathleen A Tibbetts

Title

President

Phone

(207) 799-2237

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• prior to inc was Kathleen A Tibbetts Other name

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

{
    "created_epoch": "1250985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1194957290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MARKET ST STE 1A #151",
            "city": "S PORTLAND",
            "state": "ME",
            "postal_code": "041063666",
            "telephone_number": "207-799-2237",
            "fax_number": "207-799-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 FRONT ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061558",
            "telephone_number": "207-799-2237",
            "fax_number": "207-799-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIA ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-23",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "TIBBETTS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-799-2237"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154040000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "prior to inc was Kathleen A Tibbetts",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.