EBONII GILLAM
NPI 1083331979
Home Health Aide in Youngstown, OH

Active since October 21, 2022
3615 SHELBY RD, YOUNGSTOWN, OH 44511(330) 881-8049 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2024, Oct 21, 2022 (2 updates tracked since 2022).

About Ebonii Gillam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONII GILLAM (NPI 1083331979) is an individual home health aide in Youngstown, Ohio and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1083331979
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameEBONII GILLAM
Location Address3615 SHELBY RDYoungstown, OH 44511-3066
Mailing Address3615 Shelby RdYoungstown, OH 44511-3066 · (330) 881-8049
Sole ProprietorYes
Enumeration DateOctober 21, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
NPI 1083331979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
3615 SHELBY RD, Youngstown, OH 44511

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
3615 SHELBY RD
YOUNGSTOWN, OH 44511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebonii Gillam's NPI number?

The NPI number for Ebonii Gillam is 1083331979. It was assigned to this individual provider in the NPPES registry on October 21, 2022.

Where is Ebonii Gillam located?

Ebonii Gillam practices at 3615 Shelby Rd, Youngstown, OH 44511. The listed phone number is (330) 881-8049.

What is Ebonii Gillam's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Ebonii Gillam was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.