Provider Demographics
NPI:1922241710
Name:GIDEON HOME HEALTH INC
Entity Type:Organization
Organization Name:GIDEON HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAGGERTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-236-2776
Mailing Address - Street 1:2608 BANDERA PL
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2697
Mailing Address - Country:US
Mailing Address - Phone:214-236-2776
Mailing Address - Fax:972-222-8993
Practice Address - Street 1:2608 BANDERA PL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2697
Practice Address - Country:US
Practice Address - Phone:214-236-2776
Practice Address - Fax:972-222-8993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health