Gibson Homes LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-092-758 Issued in NC

Legal business name

GIBSON HOMES LLC

Practice address

101 N Peartree LN
Raleigh, NC 27610-1823

Phone

(919) 896-8116

Fax

(919) 896-8116

NPI assigned

Feb 20, 2010

Organization subpart

No

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

Authorized official

Name

Bruce Daniel

Title

Manager

Phone

(919) 523-4942

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266624000000",
    "number": "1407178205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PEARTREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101823",
            "telephone_number": "919-896-8116",
            "fax_number": "919-896-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PEARTREE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101823",
            "telephone_number": "919-896-8116",
            "fax_number": "919-896-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-523-4942"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-092-758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Ann Giannavola, LCSW, LCAS
• Kristianna Giannico
• Christa Gibbs
• Jennifer Gibbs, FNP
• Nettie Gibbs
• Kristian Antionette Gibson-Ford, LCSW
• Annamaria Gibson
• Asya Gibson
• Cindy Gibson, CCC-SLP
• Colin Desmond Gibson, M.D.

• Assisted Living Facility (Mental Illness) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.