Organization Active NPI

Gibbs Care Home, Inc.

  • Social Worker
  • Houston, TX
National Provider Identifier
1508999194
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
52231 Issued in TX
Legal business name
GIBBS CARE HOME, INC.
Practice address
5331 W Orem Dr
Houston, TX 77045-5036
Phone
(832) 668-5323
Fax
(832) 539-1299
NPI assigned
Mar 13, 2007
Last updated
May 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Gwendolyn Arnetta Gibbs, MBA
Title
Facility Director
Phone
(832) 668-5323

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Social Worker 104100000X 52231 TX Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

5331 W Orem Dr
Houston, TX 77045-5036

Mailing address

PO Box 451485
Houston, TX 77245-1485
Phone (832) 668-5323

Other identifiers 5

IdentifierTypeStateIssuer
001012341MedicaidTX
0653719-02MedicaidTX
17086584MedicaidTX
0810848-01MedicaidTX
1016020OtherTXDEPT OF AGING& DISABILITY

Other names 1

  • Gibbs care center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1508999194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451485",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772451485",
            "telephone_number": "832-668-5323",
            "fax_number": "832-539-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 W OREM DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455036",
            "telephone_number": "832-668-5323",
            "fax_number": "832-539-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBS CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "ARNETTA",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "832-668-5323",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "52231",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012341",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653719-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17086584",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0810848-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF AGING& DISABILITY",
            "identifier": "1016020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibbs care center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.