Provider Demographics
NPI:1578209250
Name:GILEAD AT HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:GILEAD AT HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNJIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-922-0343
Mailing Address - Street 1:18622 GREENWOOD MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4606
Mailing Address - Country:US
Mailing Address - Phone:713-922-0343
Mailing Address - Fax:713-565-0408
Practice Address - Street 1:18622 GREENWOOD MEADOW TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4606
Practice Address - Country:US
Practice Address - Phone:713-922-0343
Practice Address - Fax:713-565-0408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care