Provider Demographics
NPI:1093050627
Name:GSC HOMECARE, LLC
Entity Type:Organization
Organization Name:GSC HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MORGENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-476-8400
Mailing Address - Street 1:4265 JOHNS CREEK PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6038
Mailing Address - Country:US
Mailing Address - Phone:678-646-0600
Mailing Address - Fax:678-646-0602
Practice Address - Street 1:4265 JOHNS CREEK PKWY STE B
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30024-6038
Practice Address - Country:US
Practice Address - Phone:678-646-0600
Practice Address - Fax:678-646-0602
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GYRFALCON GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058-R-0659253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care