=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740101732
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEM FAITHFUL CAREGIVING SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2026
-----------------------------------------------------
Last Update Date | 07/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5900 SE 125TH PL
-----------------------------------------------------
City | BELLEVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34420-5216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-780-5444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5900 SE 125TH PL
-----------------------------------------------------
City | BELLEVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34420-5216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-780-5444
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ADMINISTRATOR/FINANCIAL
-----------------------------------------------------
Name | DINA CHARLES CHERIVIO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 352-244-8850
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------