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
1	251E00000X	Home Health Agency	0000	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID 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	:	CFO EVP
Name	:	SCOTT GERALD GINN
Credential	:
Telephone Number	:	225-299-3516

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	05/12/2023

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

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