MEDICARE: GGM HOMECARE, CORP

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

General Provider Information

NPI Number	:	1942090535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GGM HOMECARE, CORP

Provider Business Mailing Address
First Line	:	389 PALM COAST PKWY SW UNIT 3P
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4772
Country	:	US
Telephone Number	:	917-513-1735
Fax Number	:	386-597-1938

Provider Business Practice Location Address
First Line	:	389 PALM COAST PKWY SW UNIT 3P
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32137-4772
Country	:	US
Telephone Number	:	917-513-1735
Fax Number	:	386-597-1938

Authorized Official
Title or Position	:	OWNER/VP
Name	:	GINA MCMANUS
Credential	:
Telephone Number	:	917-513-1735

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

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