MEDICARE: GG HOME CARE 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1275462939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GG HOME CARE LLC

Provider Business Mailing Address
First Line	:	15635 MEMORIAL DR APT 119
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-0030
Country	:	US
Telephone Number	:	313-888-4552
Fax Number	:

Provider Business Practice Location Address
First Line	:	15635 MEMORIAL DR APT 119
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-0030
Country	:	US
Telephone Number	:	313-888-4552
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	GABRIEL ELDER
Credential	:
Telephone Number	:	313-888-4552

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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