Active NPI
Gsded, LLC
- In Home Supportive Care Agency
- Salt Lake City, UT
National Provider Identifier
1699197830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2237020 | Gsded, LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nurse's Aide
- Salt Lake City, UT
- NPI 1417774050
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.