NPIMap

Organization Active NPI

Gleco LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Apple Valley, CA
National Provider Identifier
1417186404
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
366413177 Issued in CA
Legal business name
GLECO LLC
Practice address
11665 Cibola Rd
Apple Valley, CA 92308-5922
Phone
(760) 963-0416
NPI assigned
Jul 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Mr. Leodigaerlan G. Panopio
Title
Administrator/ Board Member
Phone
(760) 963-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 366413177 CA Primary

Addresses

Primary practice location

11665 Cibola Rd
Apple Valley, CA 92308-5922

Mailing address

18101 Juniper St
Hesperia, CA 92345-6324
Phone (760) 371-5153

Other names 1

  • D' Adams Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gleco LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1417186404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18101 JUNIPER ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456324",
            "telephone_number": "760-371-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11665 CIBOLA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085922",
            "telephone_number": "760-963-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLECO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "PANOPIO",
        "authorized_official_first_name": "LEODIGAERLAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ADMINISTRATOR/ BOARD MEMBER",
        "authorized_official_telephone_number": "760-963-0416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "366413177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D' Adams Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.