Organization Active NPI

Gibson Health Services, Inc.

  • Home Health Agency
  • East Saint Louis, IL
National Provider Identifier
1205970712
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1003698 Issued in IL
Legal business name
GIBSON HEALTH SERVICES, INC.
Practice address
1468 State St
Suite 100
East Saint Louis, IL 62205-2010
Phone
(618) 274-6026
Fax
(618) 274-4314
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Ms. Patricia A Gibson, RN, BSN, MPH
Title
President & Ceo
Phone
(618) 274-6026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1003698 IL Primary

Addresses

Primary practice location

1468 State St
Suite 100
East Saint Louis, IL 62205-2010

Mailing address

1468 State St
P. O. Box 368
East Saint Louis, IL 62205-2010
Phone (618) 274-6026

Other identifiers 1

IdentifierTypeStateIssuer
9857OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1468 State St
East Saint Louis, IL 62205
Phone (618) 274-6026

1468 State St
Ste 100
East Saint Louis, IL 62205
Phone (618) 274-6026

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1205970712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 STATE ST",
            "address_2": "P. O. BOX 368",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052010",
            "telephone_number": "618-274-6026",
            "fax_number": "618-274-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 STATE ST",
            "address_2": "SUITE 100",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052010",
            "telephone_number": "618-274-6026",
            "fax_number": "618-274-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "618-274-6026",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1003698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "9857",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.