Provider Demographics
NPI:1427892116
Name:GSA PLUS HOME CARE
Entity type:Organization
Organization Name:GSA PLUS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARKADIY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-915-0838
Mailing Address - Street 1:409 W HALLANDALE BEACH BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5301
Mailing Address - Country:US
Mailing Address - Phone:561-896-1112
Mailing Address - Fax:561-896-1109
Practice Address - Street 1:409 W HALLANDALE BEACH BLVD STE 217
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5301
Practice Address - Country:US
Practice Address - Phone:561-896-1112
Practice Address - Fax:561-896-1109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care