Provider Demographics
NPI:1003414558
Name:GERTHLAN LLC
Entity Type:Organization
Organization Name:GERTHLAN LLC
Other - Org Name:GERTHLAN DBA ALTRUISM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:VEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-607-2289
Mailing Address - Street 1:7737 LAUREL AVE UNIT 43463
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-7520
Mailing Address - Country:US
Mailing Address - Phone:513-607-2289
Mailing Address - Fax:
Practice Address - Street 1:3220 JEFFERSON AVENUE
Practice Address - Street 2:SUITE 21
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220
Practice Address - Country:US
Practice Address - Phone:513-370-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health