Gerald Jackson Galloupe

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

002258 Issued in TX

Legal business name

GERALD JACKSON GALLOUPE

Practice address

1705 North Bishop
Texarkana, TX 75501-2800

Phone

(903) 838-4941

Fax

(903) 838-5128

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Jackson Galloupe

Title

Owner/Administrator

Phone

(903) 838-4941

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Homebound Health Care Doing business as

Locations

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1932285996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 NORTH BISHOP",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012800",
            "telephone_number": "903-838-4941",
            "fax_number": "903-838-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 NORTH BISHOP",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755012800",
            "telephone_number": "903-838-4941",
            "fax_number": "903-838-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD JACKSON GALLOUPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "GALLOUPE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-838-4941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "002258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "HH9968",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "002258",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homebound Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minh-Ly N Gaylor, MD
• Jennifer Anne Gentry, COTA/L
• Jeremy Todd Gentry, CRNA
• George F. Moricz, M.D., P.a.
• Roshan Thomas George, MD
• Heather Alison Gerber, FNP-C
• Richard William Gibson, D.D.S.
• Katelynn R Giddens, PTA
• Deedria Gilchrist-Wickliffe
• Joshua Gilchrist, M.D.

• Home Health Agency in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.