=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407781347
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GILEAD CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/13/2026
-----------------------------------------------------
Last Update Date | 06/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3419 TREE SHADOW LN
-----------------------------------------------------
City | MIDLOTHIAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76065-7182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-746-1533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3419 TREE SHADOW LN
-----------------------------------------------------
City | MIDLOTHIAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76065-7182
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-746-1533
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | EYIDAYO ADEBOLA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-746-1533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------