MEDICARE: GSH HOME MED 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	332B00000X	Durable Medical Equipment & Medical Supplies		PA
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)		PA
3	332BX2000X	Oxygen Equipment & Supplies (DME)	8000000001	PA

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	:	1831202944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GSH HOME MED CARE LLC

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 SCHNEIDER DR
Second Line	:
City	:	LEBANON
State	:	PA
Zip	:	17046-4875
Country	:	US
Telephone Number	:	717-272-2057
Fax Number	:	717-272-0796

Authorized Official
Title or Position	:	SR DIRECTOR
Name	:	ROY M ZIMMERMAN
Credential	:
Telephone Number	:	717-639-2664

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/03/2025

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Directions to “GSH HOME MED CARE LLC ” Practice Location

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