Provider Demographics
NPI:1033836002
Name:GILEAD HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:GILEAD HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MUBANGA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHISHIMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-318-8044
Mailing Address - Street 1:2937 HONEYMEAD RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-6021
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2937 HONEYMEAD RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-6021
Practice Address - Country:US
Practice Address - Phone:267-318-8044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health