Provider Demographics
NPI: | 1851669576 |
---|---|
Name: | GEMCARE ASSOCIATES, LLC |
Entity type: | Organization |
Organization Name: | GEMCARE ASSOCIATES, LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | FRANCHISE OWNER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | JENNIFER |
Authorized Official - Middle Name: | L |
Authorized Official - Last Name: | FANELLI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 610-941-9242 |
Mailing Address - Street 1: | 507 GERMANTOWN PIKE |
Mailing Address - Street 2: | SUITE 102 |
Mailing Address - City: | LAFAYETTE HILL |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 19444-1826 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 610-941-9242 |
Mailing Address - Fax: | 610-941-9223 |
Practice Address - Street 1: | 507 GERMANTOWN PIKE |
Practice Address - Street 2: | SUITE 102 |
Practice Address - City: | LAFAYETTE HILL |
Practice Address - State: | PA |
Practice Address - Zip Code: | 19444-1826 |
Practice Address - Country: | US |
Practice Address - Phone: | 610-941-9242 |
Practice Address - Fax: | 610-941-9223 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-12-08 |
Last Update Date: | 2011-12-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 11633601 | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |