Provider Demographics
NPI:1245405653
Name:GIDEON HEALTHCARE GROUP INC.
Entity Type:Organization
Organization Name:GIDEON HEALTHCARE GROUP INC.
Other - Org Name:ANGEL HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-346-6502
Mailing Address - Street 1:208 W KEARNEY ST
Mailing Address - Street 2:STE 101
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-3476
Mailing Address - Country:US
Mailing Address - Phone:972-346-6502
Mailing Address - Fax:972-303-5723
Practice Address - Street 1:208 W KEARNEY ST
Practice Address - Street 2:STE 101
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-3476
Practice Address - Country:US
Practice Address - Phone:972-346-6502
Practice Address - Fax:972-303-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-26
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty