MEDICARE: GEMINI HOME HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	980001484	CA

General Provider Information

NPI Number	:	1194835157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEMINI HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	5352 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4937
Country	:	US
Telephone Number	:	818-452-9007
Fax Number	:	855-721-2322

Provider Business Practice Location Address
First Line	:	5352 LAUREL CANYON BLVD STE 201
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4937
Country	:	US
Telephone Number	:	818-452-9007
Fax Number	:	855-721-2322

Authorized Official
Title or Position	:	CEO
Name	:	MR. DAVID TORRES JR.
Credential	:
Telephone Number	:	323-955-6187

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	06/09/2021

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