Provider Demographics
NPI:1538146998
Name:GILS HOME HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:GILS HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO /ALT. ADMINISTRATOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IFEYINWA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUKORONYE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, RHIA
Authorized Official - Phone:214-703-0699
Mailing Address - Street 1:3960 BROADWAY BLVD
Mailing Address - Street 2:STE 109
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-2593
Mailing Address - Country:US
Mailing Address - Phone:214-703-0699
Mailing Address - Fax:214-703-6899
Practice Address - Street 1:3960 BROADWAY BLVD
Practice Address - Street 2:STE 109
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-2593
Practice Address - Country:US
Practice Address - Phone:214-703-0699
Practice Address - Fax:214-703-6899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251J00000X
TX008934251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001015463OtherCBA
TX001014059OtherPHC
TX178668301Medicaid
TX001014060OtherCBA
TX001026397OtherMDCP
TX001015463OtherCBA