MEDICARE: GEMINI HOME HEALTHCARE LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1205789633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEMINI HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	3359 CENTRAL AVE NE STE 7
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-1217
Country	:	US
Telephone Number	:	612-254-8868
Fax Number	:	612-254-8698

Provider Business Practice Location Address
First Line	:	3359 CENTRAL AVE NE STE 7
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55418-1217
Country	:	US
Telephone Number	:	612-254-8868
Fax Number	:	612-254-8698

Authorized Official
Title or Position	:	OWNER
Name	:	DOMINIQUE SIMPKINS
Credential	:
Telephone Number	:	815-517-4532

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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