Provider Demographics
NPI:1760647994
Name:GABLES HOME HEALTH, INC
Entity type:Organization
Organization Name:GABLES HOME HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GISSELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-722-2525
Mailing Address - Street 1:9380 SW 72ND ST STE B214
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3244
Mailing Address - Country:US
Mailing Address - Phone:305-722-2525
Mailing Address - Fax:305-722-2526
Practice Address - Street 1:9380 SW 72ND ST STE B214
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3244
Practice Address - Country:US
Practice Address - Phone:305-722-2525
Practice Address - Fax:305-722-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299993437251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health