Herleesha Granderson Gardner
In Home Supportive Care in Leesburg, FL. Individual provider (NPI-1).
NPI number1962054262
StatusActive
Last updated in NPPESJul 16, 2019
Details
- NPI
- 1962054262
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Herleesha Granderson Gardner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2019
- Last updated
- Jul 16, 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 |
Practice location
2728 Hollow LnLeesburg, FL 34748-9596
Phone 352-530-8423
Mailing address
Po Box 493613Leesburg, FL 34749-3613
Phone 352-530-8423
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 34 In Home Supportive Care Agency providers in Leesburg · All 1,670 providers in Leesburg
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