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NPI Code Detail

MEDICARE: GEM CITY HOME CARE, LLC

MEDICARE: GEM CITY 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
1251E00000XHome Health Agency0000OH

Other Identifiers

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

General Provider Information

NPI Number : 1790788776
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEM CITY HOME CARE, LLC
Provider Business Mailing Address
First Line : 3854 AMERICAN WAY STE A1400
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4896
Country : US
Telephone Number : 225-292-2031
Fax Number :
Provider Business Practice Location Address
First Line : 8534 YANKEE ST STE 2A
Second Line :
City : DAYTON
State : OH
Zip : 45458-1889
Country : US
Telephone Number : 937-438-9100
Fax Number : 937-438-9200
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 617-639-4092
Provider Enumeration Date : 05/24/2005
Last Update Date : 04/07/2026

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Directions to “GEM CITY HOME CARE, LLC ” Practice Location

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