MEDICARE: GILEAD HOME HEALTHCARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235013723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILEAD HOME HEALTHCARE, INC

Provider Business Mailing Address
First Line	:	1165 N MILWAUKEE AVE APT 1508
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-4045
Country	:	US
Telephone Number	:	773-524-7133
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 N MILWAUKEE AVE APT 1508
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60642-4045
Country	:	US
Telephone Number	:	773-524-7133
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR AND OWNER
Name	:	VICTORIA IDOWU
Credential	:
Telephone Number	:	773-524-7133

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/18/2025

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