Gsha, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GSHA, LLC

Practice address

24225 W 9 Mile Rd
Suite 140-1163
Southfield, MI 48033

Phone

(866) 377-4742

NPI assigned

Sep 24, 2024

Organization subpart

Yes

Parent organization

GSHA, LLCAs reported in NPPES

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

Authorized official

Name

Ondranique Edison

Title

Member

Phone

(866) 377-4742

Specialties & licenses 2

Addresses

Other names 1

• GSHA Other name

Locations

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1962229559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 E GREENWAY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850329998",
            "telephone_number": "866-377-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24225 W 9 MILE RD",
            "address_2": "SUITE 140-1163",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "866-377-4742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 E Camelback Rd",
            "address_2": "Suite #400",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "866-377-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GSHA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GSHA, LLC",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "EDISON",
        "authorized_official_first_name": "ONDRANIQUE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "866-377-4742"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.