Provider Demographics
NPI:1982947305
Name:GIDI VENTURES LLC
Entity Type:Organization
Organization Name:GIDI VENTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUBUNMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIJAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-620-9355
Mailing Address - Street 1:2703 HIGHWAY 6 S
Mailing Address - Street 2:STE # 195
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1734
Mailing Address - Country:US
Mailing Address - Phone:832-620-9355
Mailing Address - Fax:
Practice Address - Street 1:2703 HIGHWAY 6 S
Practice Address - Street 2:STE # 195
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1734
Practice Address - Country:US
Practice Address - Phone:832-620-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child