Provider Demographics
NPI:1174283527
Name:GSEVENLLC
Entity Type:Organization
Organization Name:GSEVENLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN MANAGER /OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-576-5235
Mailing Address - Street 1:1812 JAKE ANDREW AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-1370
Mailing Address - Country:US
Mailing Address - Phone:702-576-5235
Mailing Address - Fax:
Practice Address - Street 1:3180 ROWLAND ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-4231
Practice Address - Country:US
Practice Address - Phone:702-207-3502
Practice Address - Fax:702-745-1957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-27
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV10560-AGC-0OtherHCQC NEVADA DEPT OF HEALTH