Gibson Lane Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GIBSON LANE ASSISTED LIVING LLC

Practice address

8011 W Gibson LN
Phoenix, AZ 85043-7484

Phone

(602) 384-8495

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Lissa Sebatu

Title

Ceo

Phone

(602) 384-8495

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1699342360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 W GIBSON LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437484",
            "telephone_number": "602-384-8495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 W GIBSON LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437484",
            "telephone_number": "602-384-8495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON LANE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "SEBATU",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-384-8495",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura S Gibeault, LPC
• Kyle Patrick Giblin, LMSW
• Megan E Giblin, LCSW
• Noreen Gibney, BSN
• Gibson Care LLC
• Gibson Lane Behavioral Health Care LLC
• Gibson Surgical Assisting, PLLC
• Amanda Gibson, CRNA
• Amy Gibson, ATC LAT
• Andrew Gibson, DPT

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.