MEDICARE: GENTRY CITY 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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1194676718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTRY CITY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1415 E DUBLIN GRANVILLE RD STE 214
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3328
Country	:	US
Telephone Number	:	614-300-3198
Fax Number	:	614-324-1225

Provider Business Practice Location Address
First Line	:	1415 E DUBLIN GRANVILLE RD STE 214
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3328
Country	:	US
Telephone Number	:	614-300-3198
Fax Number	:	614-324-1225

Authorized Official
Title or Position	:	CEO
Name	:	MISS SHONDA DENISE MEREDITH
Credential	:	RN
Telephone Number	:	614-300-3198

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “GENTRY CITY HOME HEALTHCARE LLC ” Practice Location

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