Provider Demographics
NPI:1528858891
Name:GIDEONS LUXURY CLOSET
Entity type:Organization
Organization Name:GIDEONS LUXURY CLOSET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EULA
Authorized Official - Middle Name:KENDORA
Authorized Official - Last Name:AMOSUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-246-2266
Mailing Address - Street 1:1905 FALL CREEK CV
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-4350
Mailing Address - Country:US
Mailing Address - Phone:917-246-2266
Mailing Address - Fax:
Practice Address - Street 1:1905 FALL CREEK CV
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-4350
Practice Address - Country:US
Practice Address - Phone:917-246-2266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No332U00000XSuppliersHome Delivered Meals
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)