M Gibbs Workforce Kervin LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

M GIBBS WORKFORCE KERVIN LLC

Practice address

21503 Jamaica Ave # 1078
Queens Village, NY 11428-1783

Phone

(516) 518-4506

Fax

(929) 299-1525

NPI assigned

May 2, 2023

Last updated

Jan 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kervin Gibbs

Title

Owner

Phone

(718) 825-1784

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1215626767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930013",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116930013",
            "telephone_number": "516-518-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21503 JAMAICA AVE # 1078",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281783",
            "telephone_number": "516-518-4506",
            "fax_number": "929-299-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M GIBBS WORKFORCE KERVIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "KERVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-825-1784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.