MEDICARE: GIDEON HEALTH & WELLNESS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	385H00000X	Respite Care
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1679429161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIDEON HEALTH & WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	3006 LASSITER RD
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-3374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3006 LASSITER RD
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-3374
Country	:	US
Telephone Number	:	919-247-2649
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINA COBB
Credential	:
Telephone Number	:	919-247-2649

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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