Provider Demographics
NPI:1407209646
Name:GSNY HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:GSNY HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ALFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIMADEEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-577-9093
Mailing Address - Street 1:7819 18TH AVE STE D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1729
Mailing Address - Country:US
Mailing Address - Phone:347-577-9093
Mailing Address - Fax:347-579-0099
Practice Address - Street 1:7819 18TH AVE STE D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1729
Practice Address - Country:US
Practice Address - Phone:347-577-9093
Practice Address - Fax:347-579-0099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04497196Medicaid