Provider Demographics
NPI:1841814761
Name:GABKO HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:GABKO HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSIMO
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:443-838-2269
Mailing Address - Street 1:373 PALADIUM CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1398
Mailing Address - Country:US
Mailing Address - Phone:443-838-2269
Mailing Address - Fax:
Practice Address - Street 1:7819 E 117TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-4037
Practice Address - Country:US
Practice Address - Phone:410-709-8717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-05
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No251J00000XAgenciesNursing Care