MEDICARE: GULF COAST HOME CARE SERVICES, 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		FL

General Provider Information

NPI Number	:	1568447449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GULF COAST HOME CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	4100 CORPORATE SQ
Second Line	:	SUITE 163
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-263-0809
Fax Number	:	239-263-8217

Provider Business Practice Location Address
First Line	:	4100 CORPORATE SQ
Second Line	:	SUITE 163
City	:	NAPLES
State	:	FL
Zip	:	34104-4714
Country	:	US
Telephone Number	:	239-263-0809
Fax Number	:	239-263-8217

Authorized Official
Title or Position	:	REIMBURSEMENT MANAGER
Name	:	MR. NAVIN ACHARYA
Credential	:
Telephone Number	:	954-616-6000

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	08/22/2020

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