Organization Active NPI

GHSC - Gibson Health Services Contracts, Inc.

  • Home Health Agency
  • East Saint Louis, IL
National Provider Identifier
1740324250
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009869 Issued in IL
Legal business name
GHSC - GIBSON HEALTH SERVICES CONTRACTS, INC.
Practice address
1468 State St
Suite 200
East Saint Louis, IL 62205-2010
Phone
(618) 274-6026
Fax
(618) 274-4314
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patricia A Gibson, RN, BSN,MPH
Title
President & Ceo
Phone
(618) 274-6026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1009869 IL Primary

Addresses

Primary practice location

1468 State St
Suite 200
East Saint Louis, IL 62205-2010

Mailing address

1468 State St
P. O. Box 6017
East Saint Louis, IL 62205-2010
Phone (618) 274-9667

Other identifiers 2

IdentifierTypeStateIssuer
1009869MedicaidIL
0122OtherILNURSE AGENCY LICENSE NUMB

National Provider Directory

National Provider Directory

Locations

1468 State St
Ste 200
East Saint Louis, IL 62205
Phone (618) 274-6026

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740324250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1468 STATE ST",
            "address_2": "P. O. BOX 6017",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052010",
            "telephone_number": "618-274-9667",
            "fax_number": "618-274-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 STATE ST",
            "address_2": "SUITE 200",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622052010",
            "telephone_number": "618-274-6026",
            "fax_number": "618-274-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHSC - GIBSON HEALTH SERVICES CONTRACTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "618-274-6026",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN,MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1009869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009869",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE AGENCY LICENSE NUMB",
            "identifier": "0122",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.