Gilley Enterprises LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

GILLEY ENTERPRISES LLC

Doing business as

Eastern Mountain Family & Support Services
Eastern Mountain Family and Support Servcies

Practice address

2381 Highway 7 S
Jeremiah, KY 41826-9081

Phone

(606) 633-8058

Fax

(606) 633-2414

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By 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

Mr. Shawn A Gilley

Title

Chief Executive Officer

Phone

(606) 821-6252

Specialties & licenses 1

Addresses

Other names 2

• Eastern Mountain Family & Support Services Doing business as
• Eastern Mountain Family and Support Servcies Doing business as

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1831962091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "JEREMIAH",
            "state": "KY",
            "postal_code": "418260082",
            "telephone_number": "606-633-8058",
            "fax_number": "606-633-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 HIGHWAY 7 S",
            "city": "JEREMIAH",
            "state": "KY",
            "postal_code": "418269081",
            "telephone_number": "606-633-8058",
            "fax_number": "606-633-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLEY ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "GILLEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "606-821-6252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Mountain Family & Support Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastern Mountain Family and Support Servcies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Manager/Care Coordinator in Jeremiah, KY
• Providers in Jeremiah, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.