Gosula Homecare, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GOSULA HOMECARE, INC.

Doing business as

Synergy HomeCare of San Mateo

Practice address

1670 S Amphlett Blvd Ste 214
San Mateo, CA 94402-2511

Phone

(650) 378-2436

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Saili Gosula

Title

Executive Director

Phone

(650) 378-2436

Specialties & licenses 1

Addresses

Other names 1

• Synergy HomeCare of San Mateo Doing business as

Locations

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1457634065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 214",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022511",
            "telephone_number": "650-378-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD STE 214",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022511",
            "telephone_number": "650-378-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSULA HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "GOSULA",
        "authorized_official_first_name": "SAILI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "650-378-2436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of San Mateo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in San Mateo, CA
• Providers in San Mateo, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.