Gwens Place Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

119508 Issued in TX

Legal business name

GWENS PLACE INC

Practice address

12023 Bishop Dr
Balch Springs, TX 75180-3313

Phone

(972) 286-1383

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gwennetta Marie WooldridgeNPI 1730243528

Title

Registered Nurse

Phone

(972) 286-1383

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gwennetta Marie Wooldridge, RN

  • Registered Nurse
  • Balch Springs, TX
  • NPI 1730243528
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1851416267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 BISHOP DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751803313",
            "telephone_number": "972-286-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12023 BISHOP DR",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751803313",
            "telephone_number": "972-286-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENS PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "GWENNETTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "972-286-1383",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "119508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Balch Springs, TX
• Providers in Balch Springs, 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 Sep 4, 2007; 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.