Active NPI
Matt A Gelso
- Home Health Aide
- Flat Rock, MI
National Provider Identifier
1356514921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4510 Dauncy Rd
Flat Rock, MI 48134-9650 - Phone
- (734) 915-7245
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Home Health Aide | 374U00000X | Primary | ||
| Nurse's Aide | 376K00000X | |||
| Licensed Practical Nurse | 164W00000X | L1048906 | MI | |
| Registered Nurse | 163W00000X | L1040810 | MI | |
| Administrator Registered Nurse | 163WA2000X | L1040810 | MI | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | L1040810 | MI | |
| General Practice Registered Nurse | 163WG0000X | L1040810 | MI | |
| Infection Control Registered Nurse | 163WI0600X | L1040810 | MI | |
| Home Health Registered Nurse | 163WH0200X | L1040810 | MI | |
| Infusion Therapy Registered Nurse | 163WI0500X | L1040810 | MI | |
| Rehabilitation Registered Nurse | 163WR0400X | L1040810 | MI | |
| Wound Care Registered Nurse | 163WW0000X | L1040810 | MI |
Addresses
Primary practice location
4510 Dauncy Rd
Flat Rock, MI 48134-9650
Mailing address
4510 Dauncy Rd
Flat Rock, MI 48134-9650
Phone (734) 915-7245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1040810 | MI | MD | Wound Care Registered Nurse |
| L1048906 | MI | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Light Health Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Monroe, MI
- NPI 1134368244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1356514921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 DAUNCY RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481349650",
"telephone_number": "734-915-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 DAUNCY RD",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481349650",
"telephone_number": "734-915-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELSO",
"first_name": "MATT",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "L1048906",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WC1600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continuing Education/Staff Development",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "MI",
"license": "L1040810",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MI",
"license": "L1040810",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.