Provider Demographics
NPI:1316799232
Name:FOSTER, GILES FRANKLIN IV
Entity type:Individual
Prefix:
First Name:GILES
Middle Name:FRANKLIN
Last Name:FOSTER
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 CRANSTON RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3033
Mailing Address - Country:US
Mailing Address - Phone:216-702-8848
Mailing Address - Fax:
Practice Address - Street 1:7603 FIRST PL STE B12
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-6703
Practice Address - Country:US
Practice Address - Phone:216-536-2163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-03
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1316799232171400000X, 171M00000X, 172A00000X, 251E00000X, 251S00000X, 253Z00000X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171400000XOther Service ProvidersHealth & Wellness Coach
No172A00000XOther Service ProvidersDriver
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care