Healthcare Provider Details

I. General information

NPI: 1073465803
Provider Name (Legal Business Name): GILLES HEALTHCARE & STAFFING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PALMER ST
BROCKTON MA
02301-3165
US

IV. Provider business mailing address

30 PALMER ST
BROCKTON MA
02301-3165
US

V. Phone/Fax

Practice location:
  • Phone: 774-444-4125
  • Fax:
Mailing address:
  • Phone: 774-444-4125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL ANJOH
Title or Position: OPS MANAGER
Credential:
Phone: 857-800-4029