Provider Demographics
NPI:1235013723
Name:GILEAD HOME HEALTHCARE, INC
Entity type:Organization
Organization Name:GILEAD HOME HEALTHCARE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:IDOWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-524-7133
Mailing Address - Street 1:1165 N MILWAUKEE AVE APT 1508
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-4045
Mailing Address - Country:US
Mailing Address - Phone:773-524-7133
Mailing Address - Fax:
Practice Address - Street 1:1165 N MILWAUKEE AVE APT 1508
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-4045
Practice Address - Country:US
Practice Address - Phone:773-524-7133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care