Provider Demographics
NPI:1083101018
Name:GUASIPATI INC.
Entity Type:Organization
Organization Name:GUASIPATI INC.
Other - Org Name:GP HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-839-0836
Mailing Address - Street 1:PO BOX 245005
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-0100
Mailing Address - Country:US
Mailing Address - Phone:561-839-0836
Mailing Address - Fax:
Practice Address - Street 1:7661 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-6912
Practice Address - Country:US
Practice Address - Phone:561-839-0836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health