Gems Residence LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GEMS RESIDENCE LLC

Practice address

5810 Liverpool St
Aubrey, TX 76227-1909

Phone

(425) 463-8789

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Maram Channeh Ceesay, RN

Title

Coo

Phone

(425) 463-8789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1518507110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 LIVERPOOL ST",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271909",
            "telephone_number": "425-463-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 LIVERPOOL ST",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762271909",
            "telephone_number": "425-463-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMS RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "CEESAY",
        "authorized_official_first_name": "MARAM",
        "authorized_official_middle_name": "CHANNEH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "425-463-8789",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Aubrey, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.