NPIMap

Organization Active NPI

Gospelheroes Lovecare Services LLC

  • Secured Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1851079776
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
GOSPELHEROES LOVECARE SERVICES LLC
Practice address
9600 Golf Lakes TRL Apt 1007
Dallas, TX 75231-5012
Phone
(202) 294-8080
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Dr. Willibroad TichaNPI 1225601354
Title
Owner
Phone
(202) 294-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

9600 Golf Lakes TRL Apt 1007
Dallas, TX 75231-5012

Mailing address

9600 Golf Lakes TRL Apt 1007
Dallas, TX 75231-5012
Phone (202) 294-8080

Other names 1

  • GOSPELHEROES LOVECARE SERVICES Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1851079776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GOLF LAKES TRL APT 1007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315012",
            "telephone_number": "202-294-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 GOLF LAKES TRL APT 1007",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315012",
            "telephone_number": "202-294-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSPELHEROES LOVECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "TICHA",
        "authorized_official_first_name": "WILLIBROAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-294-8080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOSPELHEROES LOVECARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "GOSPELHEROES LOVECARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.