Provider Demographics
NPI:1528151701
Name:GSH HOME MED CARE LLC
Entity type:Organization
Organization Name:GSH HOME MED CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-639-2664
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:1081 SHARP AVE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-1135
Practice Address - Country:US
Practice Address - Phone:717-721-4299
Practice Address - Fax:717-733-4302
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GSH HOME MED CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-02
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1519615OtherGATEWAY HEALTH PLAN
PA000000124064OtherUNISON HEALTH PLAN
PA0039289000OtherPERSONAL CHOICE PPO
PA217220OtherHEALTH AMERICA/ASSURANCE
PA39HA37OtherCAPITAL BLUE CROSS
PA0533068OtherAETNA
PA207557OtherHIGHMARK BLUE SHIELD
PA1000856OtherAMERIHEALTH MERCI
PA1007464680120Medicaid
PA207557OtherHIGHMARK BLUE SHIELD