Active NPI
GSP United LLC
- Nursing Care Agency
- Elmhurst, IL
National Provider Identifier
1932305950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 2007-N0020
- Legal business name
- GSP UNITED LLC
- Practice address
- 188 W Industrial Dr
Suite 124
Elmhurst, IL 60126-1623 - Phone
- (630) 359-6660
- Fax
- (630) 279-7325
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bernard Bulger
- Title
- President
- Phone
- (630) 359-6660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 2007-N0020 | IL | Primary |
Addresses
Primary practice location
188 W Industrial Dr
Suite 124
Elmhurst, IL 60126-1623
Mailing address
188 W Industrial Dr
Suite 124
Elmhurst, IL 60126-1623
Phone (630) 359-6660
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611413200 | Other | IL | DEPARTMENT OF LABOR |
| 1633280 | Other | IL | BLUE CROSS |
| 61271 | Other | IL | PRINCIPAL LIFE INSURANCE |
| 5911112669 | Other | IL | STATE OF WASHINGTON |
| 000002649 | Other | IL | HUMANA |
| 371442495001 | Medicaid | IL | |
| 37308 | Other | IL | ALLIED HEALTH |
| 5215621 | Other | IL | AETNA |
Other names 1
- Interim Healthcare
National Provider Directory
National Provider Directory- Tax ID family
- PSG Services LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Alsip, IL
- NPI 1154178499
-
- Nursing Care Agency
- Elmhurst, IL
- NPI 1447041561
-
- Home Health Agency
- Alsip, IL
- NPI 1598725103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1932305950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 W INDUSTRIAL DR",
"address_2": "SUITE 124",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261623",
"telephone_number": "630-359-6660",
"fax_number": "630-279-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 W INDUSTRIAL DR",
"address_2": "SUITE 124",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601261623",
"telephone_number": "630-359-6660",
"fax_number": "630-279-7325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GSP UNITED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "BULGER",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-359-6660",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "IL",
"license": "2007-N0020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "611413200",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1633280",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL LIFE INSURANCE",
"identifier": "61271",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "5911112669",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "000002649",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371442495001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED HEALTH",
"identifier": "37308",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5215621",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.