Organization Active NPI

Gabriel Care LLC

  • Home Health Agency
  • Fall River, MA
National Provider Identifier
1851419774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GABRIEL CARE LLC
Practice address
261 Oliver St
Fall River, MA 02724-2917
Phone
(508) 678-1002
Fax
(508) 678-1042
NPI assigned
Mar 27, 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
Mr. Dennis D Etzkorn
Title
Pesident
Phone
(508) 678-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

261 Oliver St
Fall River, MA 02724-2917

Mailing address

261 Oliver St
Fall River, MA 02724-2917
Phone (508) 678-1002

Other identifiers 1

IdentifierTypeStateIssuer
1905171MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851419774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 OLIVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242917",
            "telephone_number": "508-678-1002",
            "fax_number": "508-678-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 OLIVER ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027242917",
            "telephone_number": "508-678-1002",
            "fax_number": "508-678-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ETZKORN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PESIDENT",
        "authorized_official_telephone_number": "508-678-1002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905171",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

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.