Healthcare Provider Details

I. General information

NPI: 1053922435
Provider Name (Legal Business Name): GAD SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8459 SE COMUS ST
HOBE SOUND FL
33455-7125
US

IV. Provider business mailing address

8459 SE COMUS ST
HOBE SOUND FL
33455-7125
US

V. Phone/Fax

Practice location:
  • Phone: 772-634-1376
  • Fax:
Mailing address:
  • Phone: 407-300-7702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VANILLA ANDERSON
Title or Position: PROVIDER
Credential:
Phone: 407-300-7702