Gibson Care Corporation

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3016 Issued in NC

Legal business name

GIBSON CARE CORPORATION

Doing business as

Home Instead Senior Care

Practice address

608 Signal Hill Drive Ext
Statesville, NC 28625-4353

Phone

(704) 924-9909

Fax

(704) 924-9165

NPI assigned

Nov 17, 2009

Last updated

Mar 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey A Gibson

Title

VP

Phone

(704) 924-9909

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Tax ID family

Gibson Care Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gibson Care Corp.

  dba Home Instead Senior Care

  • In Home Supportive Care Agency
  • Statesville, NC
  • NPI 1376628578
  NPD tax ID

Locations

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1710214424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254353",
            "telephone_number": "704-924-9909",
            "fax_number": "704-924-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254353",
            "telephone_number": "704-924-9909",
            "fax_number": "704-924-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "704-924-9909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• GG's Home Health Care Services LLC
• Taryn Ann Gialo
• Avey Inez Gibbs, MSW, LCSW-A
• Beverly Gibbs, COTA/L
• Gibson Care Corp. (Home Instead Senior Care)
• Amber Gibson, ED.S
• Kuladeep Krishna Gidda, M.D.
• Kendra Gilbert
• Susan Marie Gilbert, FNP
• Burgo Doyle Gill III, PA

• In Home Supportive Care Agency in Statesville, NC
• Providers in Statesville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.