MEDICARE: GEE-NET HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
3	3140N1450X	Pediatric Skilled Nursing Facility
4	385HR2065X	Child Physical Disabilities Respite Care
5	251J00000X	Nursing Care Agency
6	3747A0650X	Attendant Care Provider
7	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1407577034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEE-NET HOME CARE LLC

Provider Business Mailing Address
First Line	:	5434 WINDSOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-4826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5434 WINDSOR AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-4826
Country	:	US
Telephone Number	:	202-251-4285
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANNETTE MOORE
Credential	:
Telephone Number	:	202-251-4285

Provider Enumeration Date	:	09/12/2022
Last Update Date	:	12/31/2025

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