Provider Demographics
NPI:1578135398
Name:GILLIAM, AKIMA NADINE (HOME HEALTH AID)
Entity Type:Individual
Prefix:
First Name:AKIMA
Middle Name:NADINE
Last Name:GILLIAM
Suffix:
Gender:F
Credentials:HOME HEALTH AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 E 115TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3902
Mailing Address - Country:US
Mailing Address - Phone:216-681-5616
Mailing Address - Fax:
Practice Address - Street 1:1530 E 115TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-3902
Practice Address - Country:US
Practice Address - Phone:216-302-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant