Healthcare Provider Details

I. General information

NPI: 1497980544
Provider Name (Legal Business Name): GILEAD HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2009
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2239 VOLNEY RD
YOUNGSTOWN OH
44511-1472
US

IV. Provider business mailing address

2239 VOLNEY RD
YOUNGSTOWN OH
44511-1472
US

V. Phone/Fax

Practice location:
  • Phone: 330-774-7193
  • Fax:
Mailing address:
  • Phone: 330-774-7193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberRN254640
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN245640
License Number StateOH

VIII. Authorized Official

Name: MS. YVETTE ETNA THORNTON
Title or Position: CEO/OWNER
Credential: RN
Phone: 330-774-7193