Active NPI
Jonathan Gibson
- Home Health Agency
- Minden, LA
National Provider Identifier
1417495771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 282 Sheppard St
Suite B
Minden, LA 71055-4205 - Phone
- (318) 377-5436
- Fax
- (318) 382-1190
- NPI assigned
- Feb 7, 2017
- Last updated
- Apr 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | HC0011912 | LA | |
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Home Health Agency | 251E00000X | LA | Primary |
Addresses
Primary practice location
282 Sheppard St
Suite B
Minden, LA 71055-4205
Mailing address
282 Sheppard St
Suite B
Minden, LA 71055-4205
Phone (318) 377-5436
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 |
|---|---|---|---|
| HC0011912 | LA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Kare Journey Services, LLC | Home Health | Current | Accepting new patients |
| Brownstone, LLC | Adult Day Care | Current | Accepting new patients |
| Best Kare Journey Services, LLC | Home Health | Current | Accepting new patients |
Locations
282 Sheppard St
Ste B
Minden, LA 71055
Phone (318) 377-5436
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Minden, LA
- NPI 1003357880
-
- Home Health Agency
- Minden, LA
- NPI 1720526098
-
- Adult Day Care Clinic/Center
- Minden, LA
- NPI 1114295102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1417495771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 SHEPPARD ST",
"address_2": "SUITE B",
"city": "MINDEN",
"state": "LA",
"postal_code": "710554205",
"telephone_number": "318-377-5436",
"fax_number": "318-382-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 SHEPPARD ST",
"address_2": "SUITE B",
"city": "MINDEN",
"state": "LA",
"postal_code": "710554205",
"telephone_number": "318-377-5436",
"fax_number": "318-382-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "LA",
"license": "HC0011912",
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minden, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.