Healthcare Provider Details

I. General information

NPI: 1427868637
Provider Name (Legal Business Name): GIGI'S SUPPORTIVE CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 BORDER LAKE RD STE 102-3
APOPKA FL
32703-4800
US

IV. Provider business mailing address

2755 BORDER LAKE RD STE 102-3
APOPKA FL
32703-4800
US

V. Phone/Fax

Practice location:
  • Phone: 407-394-5818
  • Fax:
Mailing address:
  • Phone: 407-394-5818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JIMIQUAH BROWN
Title or Position: DIRECTOR
Credential:
Phone: 407-616-0762