Organization Active NPI

Gillespie Services, Inc.

Doing business as Gillespie Group Home

  • Adult Care Home Facility
  • Melbourne, FL
National Provider Identifier
1629721659
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GILLESPIE SERVICES, INC.
Doing business as
Gillespie Group Home
Practice address
113 E Avenue D
Melbourne, FL 32901-1345
Phone
(321) 733-6472
Fax
(321) 733-6471
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. David Lee Gillespie
Title
Executive Director
Phone
(321) 917-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

113 E Avenue D
Melbourne, FL 32901-1345

Mailing address

PO Box 411659
Melbourne, FL 32941-1659
Phone (321) 917-1905

Other names 1

  • Gillespie Group Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1629721659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411659",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329411659",
            "telephone_number": "321-917-1905",
            "fax_number": "321-733-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E AVENUE D",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011345",
            "telephone_number": "321-733-6472",
            "fax_number": "321-733-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLESPIE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "321-917-1905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillespie Group Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.