Active NPI
Gibson Family Holdings LLC
- Case Management Agency
- Dallas, TX
National Provider Identifier
1629887013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- GIBSON FAMILY HOLDINGS LLC
- Doing business as
- 1st Choice Case Management
- Practice address
- 325 N Saint Paul St
Dallas, TX 75201-3801 - Phone
- (404) 396-7717
- NPI assigned
- Dec 31, 2024
- 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
- Keith Gibson Sr.
- Title
- Ceo
- Phone
- (404) 396-7717
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
325 N Saint Paul St
Dallas, TX 75201-3801
Mailing address
932 Spanish Needle TRL Apt 2221
Fort Worth, TX 76177-2420
Phone (404) 396-7717
Other names 1
- 1st Choice Case Management
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1629887013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 SPANISH NEEDLE TRL APT 2221",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761772420",
"telephone_number": "404-396-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013801",
"telephone_number": "404-396-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBSON FAMILY HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-31",
"last_updated": "2024-12-31",
"certification_date": "2024-12-31",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-396-7717",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "1st Choice Case Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.