Gilmo Residential Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

R2762 Issued in MD

Legal business name

GILMO RESIDENTIAL SERVICES

Practice address

4803 Hawksbury Rd
Pikesville, MD 21208-2142

Phone

(410) 963-2559

Fax

(410) 521-0579

NPI assigned

Sep 14, 2009

Last updated

Sep 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gillian Isidahomen, BS

Title

Administrator

Phone

(410) 963-2559

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1619200235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 HAWKSBURY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082142",
            "telephone_number": "410-963-2559",
            "fax_number": "410-521-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 HAWKSBURY RD",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212082142",
            "telephone_number": "410-963-2559",
            "fax_number": "410-521-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMO RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "ISIDAHOMEN",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-963-2559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "R2762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "R2762",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latoya Giles
• Jada Gill
• Lasandra Gill
• Treasure Clarice Gill
• Ilana Giller, OTD, OTR/L
• Jerome Herman Ginsberg, MD
• Amia Cedrice Givens
• Betty Gladstein
• Boyd B Glasgow, DMD
• Heaven Glass

• In Home Supportive Care Agency in Pikesville, MD
• Providers in Pikesville, MD by specialty
• In Home Supportive Care Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.