Kaleah Shantil Gaines
In Home Supportive Care in Deltona, FL. Individual provider (NPI-1).
NPI number1174170484
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1174170484
- Entity type
- Individual (NPI-1)
- Name
- Kaleah Shantil Gaines
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – |
Practice location
560 McNeal DrDeltona, FL 32725-8453
Phone 321-216-7352
Mailing address
560 McNeal DrDeltona, FL 32725-8453
Phone 321-216-7352
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 In Home Supportive Care Agency providers in Deltona · All 985 providers in Deltona
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