Organization Active NPI

Gsded, LLC

  • In Home Supportive Care Agency
  • Salt Lake City, UT
National Provider Identifier
1699197830
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GSDED, LLC
Doing business as
Interim HealthCare SLC
Practice address
2020 S 1300 E
Suite C
Salt Lake City, UT 84105-3654
Phone
(801) 401-3515
Fax
(801) 401-3503
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Michael Hawkins
Title
Member
Phone
(801) 401-3515

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2020 S 1300 E
Suite C
Salt Lake City, UT 84105-3654

Mailing address

2020 S 1300 E
Suite C
Salt Lake City, UT 84105-3654
Phone (801) 401-3515

Other names 1

  • Interim HealthCare SLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2237020Gsded, LLC2020 S 1300 E, Ste C, Salt Lake City, UT 84105Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

2020 S 1300 E
Ste C
Salt Lake City, UT 84105
Phone (801) 401-3515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1699197830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S 1300 E",
            "address_2": "SUITE C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053654",
            "telephone_number": "801-401-3515",
            "fax_number": "801-401-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S 1300 E",
            "address_2": "SUITE C",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053654",
            "telephone_number": "801-401-3515",
            "fax_number": "801-401-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSDED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-401-3515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare SLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.