Gilgal Enterprise LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GILGAL ENTERPRISE LLC

Practice address

2968 Volturno Dr
Grand Prairie, TX 75052-8731

Phone

(682) 248-3801

Fax

(817) 459-1220

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Osabuohien Eregie

Title

Manager

Phone

(214) 562-8367

Specialties & licenses 1

Addresses

Other names 1

• GILGAL HOME ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1760004394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2968 VOLTURNO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528731",
            "telephone_number": "682-248-3801",
            "fax_number": "817-459-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2968 VOLTURNO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528731",
            "telephone_number": "682-248-3801",
            "fax_number": "817-459-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILGAL ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "EREGIE",
        "authorized_official_first_name": "OSABUOHIEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-562-8367"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GILGAL HOME ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Gholston
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• Patrick Robert Gibson, LPC, LMFT
• Karen Christina Giddings
• Avneet Gill, MD
• Veronica Gillet, MA, BCBA, LBA
• Everline Nyasuguta Gisemba
• Amber Gist
• Gladics Wellness and Beauty Inc.

• Assisted Living Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.