Provider Demographics
NPI:1043680267
Name:GADDIEL HOMECARE SERVICES INC.
Entity Type:Organization
Organization Name:GADDIEL HOMECARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:APURI-NDEPEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-559-5312
Mailing Address - Street 1:3300 HOLCOMB BRIDGE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3298
Mailing Address - Country:US
Mailing Address - Phone:770-559-5312
Mailing Address - Fax:770-559-3238
Practice Address - Street 1:3300 HOLCOMB BRIDGE RD STE 260
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3298
Practice Address - Country:US
Practice Address - Phone:770-559-5312
Practice Address - Fax:770-559-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
GA067-R-1440251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Yes253Z00000XAgenciesIn Home Supportive Care