Gibbons TX Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GIBBONS TX MANAGEMENT LLC

Doing business as

Heritage Oaks

Practice address

1112 Gibbins Rd
Arlington, TX 76011-5618

Phone

(817) 274-2584

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Elie Deitsch

Title

Manager

Phone

(516) 596-5222

Specialties & licenses 1

Addresses

Other names 1

• Heritage Oaks Doing business as

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1528447638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 GIBBINS RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115618",
            "telephone_number": "817-274-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 GIBBINS RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115618",
            "telephone_number": "817-274-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBONS TX MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "DEITSCH",
        "authorized_official_first_name": "ELIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-596-5222"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Oaks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariam Ghattas
• Sunita Ghimire Deuja, APRN-CNP
• Gi Anesthesia Care, PLLC
• Gina Giammanco, MS, ATC, LAT
• Kevin Giang, PA-C
• Ashley N. Gibson Coleman, LPC-I
• Stacey L. Gibson-Hull, M.D.
• Billijean Gibson
• Crystal Shaneick Giddings, LVN
• Virginia Helen Gifford, OTR

• Skilled Nursing Facility in Arlington, TX
• Providers in Arlington, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.