Provider Demographics
NPI:1154474724
Name:GAMA HOME CARE INC
Entity Type:Organization
Organization Name:GAMA HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JARAMILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-499-3682
Mailing Address - Street 1:2100 SANS SOUCI BLVD.
Mailing Address - Street 2:SUITE #PHD1
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3044
Mailing Address - Country:US
Mailing Address - Phone:786-499-3682
Mailing Address - Fax:954-416-6171
Practice Address - Street 1:2100 SANS SOUCI BLVD.
Practice Address - Street 2:SUITE #PHD1
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-3044
Practice Address - Country:US
Practice Address - Phone:786-499-3682
Practice Address - Fax:954-416-6171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL689034296Medicaid