Provider Demographics
NPI:1306101423
Name:GS HOME HEALTH MANAGEMENT, LLC.
Entity type:Organization
Organization Name:GS HOME HEALTH MANAGEMENT, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:281-861-9146
Mailing Address - Street 1:9534 HUFFMEISTER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2855
Mailing Address - Country:US
Mailing Address - Phone:281-861-9146
Mailing Address - Fax:877-860-8137
Practice Address - Street 1:9534 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2855
Practice Address - Country:US
Practice Address - Phone:281-861-9146
Practice Address - Fax:877-860-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX015099251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX015099OtherSTATE LICENSE