Active NPI
Gillespie Services, Inc.
Doing business as Gillespie Group Home
- Adult Care Home Facility
- Melbourne, FL
National Provider Identifier
1629721659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.