Provider Demographics
NPI:1427910454
Name:GEM CITY PCS, LLC.
Entity type:Organization
Organization Name:GEM CITY PCS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMMY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-347-5085
Mailing Address - Street 1:10644 WEST MAIN ROAD
Mailing Address - Street 2:LOT 66
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-2246
Mailing Address - Country:US
Mailing Address - Phone:814-347-5085
Mailing Address - Fax:
Practice Address - Street 1:10644 WEST MAIN ROAD
Practice Address - Street 2:LOT 66
Practice Address - City:NORTH EAST
Practice Address - State:PA
Practice Address - Zip Code:16428-2246
Practice Address - Country:US
Practice Address - Phone:814-347-5085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-28
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care