Provider Demographics
NPI:1275860447
Name:GIG HOME HEALTH CARE AGENCY, INC
Entity Type:Organization
Organization Name:GIG HOME HEALTH CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:CORDELIA
Authorized Official - Middle Name:ADA
Authorized Official - Last Name:NWAGBO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-899-3331
Mailing Address - Street 1:11540 PROSPECT HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9469
Mailing Address - Country:US
Mailing Address - Phone:301-768-6060
Mailing Address - Fax:301-358-3883
Practice Address - Street 1:11540 PROSPECT HILL RD
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9469
Practice Address - Country:US
Practice Address - Phone:301-768-6060
Practice Address - Fax:301-358-3883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIG INTERNATIONAL LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2809P251E00000X
MD080401251J00000X
MD0803001251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care