Gospel Center Rescue Mission

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GOSPEL CENTER RESCUE MISSION

Practice address

445 S San Joaquin St
Stockton, CA 95203-3537

Phone

(209) 466-2138

Fax

(209) 466-4927

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By 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

Mrs. Sandra Ann Maple-Deaver

Title

Recuperative Care Director

Phone

(209) 320-2327

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1902560014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033537",
            "telephone_number": "209-466-2138",
            "fax_number": "209-466-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S SAN JOAQUIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952033537",
            "telephone_number": "209-466-2138",
            "fax_number": "209-466-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSPEL CENTER RESCUE MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MAPLE-DEAVER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "RECUPERATIVE CARE DIRECTOR",
        "authorized_official_telephone_number": "209-320-2327",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gordon
• Peggy Elaine Gordon, L.P.T.
• Yvonne Ann Gordon, MA, MFTI
• Roxanne Omega Gorrell, SUDRC 14155
• Mohit Kumar Gosai
• Kartik Goswami, MD
• Pinki L Goswami, PNP
• Sanjeev Kumar Goswami, MD
• Vincent John Lim Gotamco, DMD
• Hamideh Gotbian Safavi

• Respite Care in Stockton, CA
• Providers in Stockton, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.