MEDICARE: GS SENIOR 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	HCO-151110	VA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932461126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GS SENIOR CARE, LLC

Provider Business Mailing Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:	SUITE N9
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	703-845-0003
Fax Number	:

Provider Business Practice Location Address
First Line	:	3536 CARLIN SPRINGS RD
Second Line	:	SUITE 9N
City	:	FALLS CHURCH
State	:	VA
Zip	:	22041-3003
Country	:	US
Telephone Number	:	703-845-0003
Fax Number	:

Authorized Official
Title or Position	:	BOARD PRESIDENT
Name	:	ABDULAHI AHMED HARUM
Credential	:
Telephone Number	:	703-845-0003

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	09/25/2014

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Directions to “GS SENIOR CARE, LLC ” Practice Location

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