Organization Active NPI

Gibson Care LLC

  • Health Service Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1558297663
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GIBSON CARE LLC
Practice address
1502 E Osborn Rd Apt 107
Phoenix, AZ 85014-5312
Phone
(480) 266-9020
NPI assigned
Jun 18, 2026
Last updated
Jun 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Dorley Tarnue GibsonNPI 1215862370
Title
Member
Phone
(480) 266-9020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

1502 E Osborn Rd Apt 107
Phoenix, AZ 85014-5312

Mailing address

1502 E Osborn Rd Apt 107
Phoenix, AZ 85014-5312
Phone (480) 266-9020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1558297663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E OSBORN RD APT 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145312",
            "telephone_number": "480-266-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E OSBORN RD APT 107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145312",
            "telephone_number": "480-266-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DORLEY",
        "authorized_official_middle_name": "TARNUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-266-9020"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.