Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN JACOB DICKE
Active Sole ProprietorGAVIN JACOB DICKE is a In Home Supportive Care Agency healthcare provider located in MENDON, Ohio. NPI 1790676310 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · MENDON, OH
Registration Details
- NPI Number
- 1790676310
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2025 (1.1070236255155 yrs)
- Last Updated
- Jul 11, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
10318 NEPTUNE MENDON RDMENDON, OH, 458629755Browse OH providers · Browse ZIP 45862
- Phone
- 5675107109
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in MENDON, OH
| Name | Credential | NPI |
|---|---|---|
| ELAINA RACHEL WILLIAMS | — | 1053156067 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.