Organization Active NPI

My 3 Gibbys Corp

Doing business as Comfort Keepers of Frederick

  • In Home Supportive Care Agency
  • Frederick, MD
National Provider Identifier
1720772858
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY 3 GIBBYS CORP
Doing business as
Comfort Keepers of Frederick
Practice address
340 W Patrick St
Frederick, MD 21701-4887
Phone
(240) 651-5876
NPI assigned
Jun 2, 2023
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COMFORT KEEPERS OF ROCKVILLE MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
David Randall Gibson
Title
President
Phone
(301) 340-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

340 W Patrick St
Frederick, MD 21701-4887

Mailing address

414 Hungerford Dr Ste 448
Rockville, MD 20850-5118
Phone (301) 340-0100

Other names 1

  • Comfort Keepers of Frederick Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My 3 Gibbys Corp2 organizations share this tax ID, including this one
Part of
My 3 Gibbys Corp

Other organizations with this tax ID 1

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

Locations

340 W Patrick St
Frederick, MD 21701
Phone (240) 651-5876

NPI Registry JSON

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1720772858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HUNGERFORD DR STE 448",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505118",
            "telephone_number": "301-340-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014887",
            "telephone_number": "240-651-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY 3 GIBBYS CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORT KEEPERS OF ROCKVILLE MD",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-340-0100"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers of Frederick",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.