Organization Active NPI

GSP United LLC

  • Nursing Care Agency
  • Elmhurst, IL
National Provider Identifier
1932305950
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2007-N0020 Issued in IL
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

Updated by the provider on Apr 11, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
611413200OtherILDEPARTMENT OF LABOR
1633280OtherILBLUE CROSS
61271OtherILPRINCIPAL LIFE INSURANCE
5911112669OtherILSTATE OF WASHINGTON
000002649OtherILHUMANA
371442495001MedicaidIL
37308OtherILALLIED HEALTH
5215621OtherILAETNA

Other names 1

  • Interim Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PSG Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.