GBL ENTERPRISES, LLC (NPI# 1609054477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609054477 |
| Entity Type | Organization |
| Organization Name | GBL ENTERPRISES, LLC |
| Other Organization Name | BARBARA'S MASTECTOMY BOUTIQUE |
| Practice Address |
5350 N 16th St Suite 101 Phoenix AZ 85016-3213 |
| Practice Telephone | 6022349568 |
| Practice Fax Number | 6029572562 |
| Mailing Telephone | 6022349568 |
| Mailing Fax Number | 6029572562 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MR. LOUIS GOLDSTEIN (CO-OWNER) |
| Authorized Official Telephone | 6029804007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| BARBARA'S MASTECTOMY BOUTIQUE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GBL ENTERPRISES, LLC | 408 Brook Hill Avenue, Vestal, New York 13850 |
| Street Address |
5350 N 16TH ST SUITE 101 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720154966 | George Anthony Defabritis | Chiropractor | 5350 N 16th St, 107, Phoenix, AZ 85016-3213 | 2006-11-28 |
| 1609073956 | Whc Senior Services Group | Point of Service | 5350 N 16th St, Suite #100, Phoenix, AZ 85016-3213 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254528 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 3811 E Bell Rd Ste 112, Phoenix, AZ 85032-2158 | 2020-01-13 |
| 1629539275 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St Ste 405, Phoenix, AZ 85012-2065 | 2019-03-27 |
| 1548787930 | Limb Center LLC | Prosthetic/Orthotic Supplier | 3020 N 44th St, Phoenix, AZ 85018-7206 | 2017-08-25 |
| 1003341959 | Team Makena LLC | Prosthetic/Orthotic Supplier | 3702 E Roeser Rd, 4, Phoenix, AZ 85040-9046 | 2017-04-28 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1750693982 | Orthotic & Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 236 E Hatcher Rd, Phoenix, AZ 85020-2423 | 2010-07-02 |
| 1942409487 | Barbara Goldstein | Prosthetic/Orthotic Supplier | 5350 N 16 St, 101, Phoenix, AZ 85016-3213 | 2007-07-14 |
| 1386786614 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3636 N 3rd Ave, Suite 100, Phoenix, AZ 85013-3904 | 2007-02-13 |
| 1386718260 | Hanger Prosthetics & Orthotics West Inc | Prosthetic/Orthotic Supplier | 4050 E Cotton Center Blvd, Suite 60, Phoenix, AZ 85040-8861 | 2006-11-20 |
| 1275605461 | Medsource Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 9305 W. Thomas Rd, Suite 150, Phoenix, AZ 85037 | 2006-11-14 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on GBL ENTERPRISES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.