Provider Demographics
NPI:1124356720
Name:GEM HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:GEM HEALTHCARE SOLUTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARMULOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-235-4130
Mailing Address - Street 1:1304 UNIVERSITY AVE NE
Mailing Address - Street 2:SUITE # 303
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55413-4599
Mailing Address - Country:US
Mailing Address - Phone:612-235-4130
Mailing Address - Fax:612-392-0023
Practice Address - Street 1:1304 UNIVERSITY AVE NE
Practice Address - Street 2:SUITE # 303
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-4599
Practice Address - Country:US
Practice Address - Phone:612-235-4130
Practice Address - Fax:612-392-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN346699253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care