Organization Active NPI

Gallo House I, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • New Port Richey, FL
National Provider Identifier
1649572231
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
6665 Issued in FL
Legal business name
GALLO HOUSE I, INC.
Practice address
9110 Star Trail
New Port Richey, FL 34654
Phone
(727) 868-3627
Fax
(727) 868-3627
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Ms. Susan Mary Selg
Title
Owner
Phone
(727) 817-0335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 6665 FL Primary

Addresses

Primary practice location

9110 Star Trail
New Port Richey, FL 34654

Mailing address

9110 Star Trail
New Port Richey, FL 34654
Phone (727) 868-3627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1649572231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9110 STAR TRAIL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-868-3627",
            "fax_number": "727-868-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9110 STAR TRAIL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34654",
            "telephone_number": "727-868-3627",
            "fax_number": "727-868-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLO HOUSE I, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SELG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-817-0335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "6665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.