Gholston Trust LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GHOLSTON TRUST LLC

Practice address

773 Clifford Ave
Ardmore, PA 19003-2027

Phone

(215) 594-9492

Fax

(215) 594-9492

NPI assigned

Apr 20, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jarrad Marcellas Gholston Sr.

Title

Founder / Ceo

Phone

(215) 594-9492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1295978328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 CLIFFORD AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 CLIFFORD AVE",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032027",
            "telephone_number": "215-594-9492",
            "fax_number": "215-594-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHOLSTON TRUST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "GHOLSTON",
        "authorized_official_first_name": "JARRAD",
        "authorized_official_middle_name": "MARCELLAS",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "215-594-9492",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Fox-Miniman, MS, CRNP
• Elise Marie Galbo, COTA/L
• Richard Gallagher
• Tara Gannon, DPT
• Jasmine Garnett
• Suzanne Y Gladstone
• Leonard H Goldsmith, DPM
• Kara L Goldstein, CRNP
• Michael Golinkoff, PHD
• Hillary Gordon, MD

• In Home Supportive Care Agency in Ardmore, PA
• Providers in Ardmore, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.