MEDICARE: G&M HOME HEALTH CARE CORP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750023933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G&M HOME HEALTH CARE CORP

Provider Business Mailing Address
First Line	:	2864 NW 191ST TER
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33056-2459
Country	:	US
Telephone Number	:	305-307-6640
Fax Number	:

Provider Business Practice Location Address
First Line	:	1275 W 47TH PL STE 331
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3449
Country	:	US
Telephone Number	:	786-317-3652
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. YSABEL MARTINEZ
Credential	:
Telephone Number	:	786-317-3652

Provider Enumeration Date	:	04/08/2022
Last Update Date	:	04/08/2022

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