Christopher Lee Gamble

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1990 McCulloch Blvd N # D55
Lake Havasu City, AZ 86403-5749

Phone

(928) 224-2989

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acadia, LLC

  • In Home Supportive Care Agency
  • Lake Havasu City, AZ
  • NPI 1831503671
  NPD (past) Authorized official

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1336759349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33801 VISTA GRANDE",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294523",
            "telephone_number": "301-639-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N # D55",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "928-224-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Joy Fuoco
• Ashley Gagnon
• Gabriel Gregory Galante, DDS
• Claudine Gallegos, CMT
• Linda Galloway
• Jennifer Nicole Rusch Garcia, D.C.
• Leticia Garcia, PHARMD
• Andrew Geigle, DMD
• Shaina Geisler
• Lisa J Gibbs, M.A., CCC-A

• In Home Supportive Care Agency in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.