NPIMap

Organization Active NPI

Gibson General Hospital Inc

Doing business as Gibson Home Health Services

  • Home Health Agency
  • Princeton, IN
National Provider Identifier
1578533352
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
05008814-1 Issued in IN
Legal business name
GIBSON GENERAL HOSPITAL INC
Doing business as
Gibson Home Health Services
Practice address
1808 Sherman Dr
Princeton, IN 47670-1043
Phone
(812) 385-9380
Fax
(812) 385-9417
NPI assigned
Jan 25, 2006
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Mrs. Jennie Robertson, R.N.
Title
Director
Phone
(812) 385-9304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 05008814-1 IN Primary

Addresses

Primary practice location

1808 Sherman Dr
Princeton, IN 47670-1043

Mailing address

1808 Sherman Dr
Princeton, IN 47670-1043
Phone (812) 385-9380

Other identifiers 1

IdentifierTypeStateIssuer
200060430MedicaidIN

Other names 1

  • Gibson Home Health Services Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1578533352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-9380",
            "fax_number": "812-385-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701043",
            "telephone_number": "812-385-9380",
            "fax_number": "812-385-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON GENERAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-385-9304",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05008814-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, IN

Sources for this page

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