Provider Demographics
NPI:1851004857
Name:FORLU, GAIUS (ACSAH)
Entity Type:Individual
Prefix:
First Name:GAIUS
Middle Name:
Last Name:FORLU
Suffix:
Gender:M
Credentials:ACSAH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7151 AGARITA MIST
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78015-5097
Mailing Address - Country:US
Mailing Address - Phone:830-273-2700
Mailing Address - Fax:
Practice Address - Street 1:7151 AGARITA MIST
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78015-5097
Practice Address - Country:US
Practice Address - Phone:830-273-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-04
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX022038251E00000X, 311500000X, 385H00000X, 385HR2065X, 251E00000X
225100000X, 2279H0200X, 251F00000X, 305R00000X, 374U00000X, 376J00000X, 385HR2055X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health
No251F00000XAgenciesHome Infusion
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child