Provider Demographics
NPI:1427868637
Name:GIGI'S SUPPORTIVE CARE SERVICES, INC
Entity type:Organization
Organization Name:GIGI'S SUPPORTIVE CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JIMIQUAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-616-0762
Mailing Address - Street 1:2755 BORDER LAKE RD STE 102-3
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-4800
Mailing Address - Country:US
Mailing Address - Phone:407-394-5818
Mailing Address - Fax:
Practice Address - Street 1:2755 BORDER LAKE RD STE 102-3
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-4800
Practice Address - Country:US
Practice Address - Phone:407-394-5818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child