Healthcare Provider Details

I. General information

NPI: 1508159237
Provider Name (Legal Business Name): GABREL HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 05/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3093 STANDHILL DR
COLUMBUS OH
43219-7318
US

IV. Provider business mailing address

3093 STANDHILL DR
COLUMBUS OH
43219-7318
US

V. Phone/Fax

Practice location:
  • Phone: 614-735-2175
  • Fax: 614-473-9855
Mailing address:
  • Phone: 614-735-2175
  • Fax: 614-473-9855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number201107000980
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number201107000980
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number201107000980
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number201107000980
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number201107000980
License Number StateOH

VIII. Authorized Official

Name: GIFTY LA VAR-DAVIS
Title or Position: RN CASE MANAGER
Credential:
Phone: 614-735-2175