Provider Demographics
NPI:1316364177
Name:GCIN HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:GCIN HOME HEALTH CARE, LLC
Other - Org Name:GCIN HEALTH CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:314-728-6326
Mailing Address - Street 1:1515 N WARSON RD
Mailing Address - Street 2:STE 116
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-1111
Mailing Address - Country:US
Mailing Address - Phone:314-728-6326
Mailing Address - Fax:314-736-6112
Practice Address - Street 1:1515 N WARSON RD
Practice Address - Street 2:STE 287
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-1111
Practice Address - Country:US
Practice Address - Phone:314-728-6326
Practice Address - Fax:314-736-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health