Provider Demographics
NPI:1518406065
Name:G&B HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:G&B HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-388-1082
Mailing Address - Street 1:6825 E TENNESSEE AVE STE 530
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1633
Mailing Address - Country:US
Mailing Address - Phone:303-388-1082
Mailing Address - Fax:
Practice Address - Street 1:6825 E TENNESSEE AVE STE 530
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1633
Practice Address - Country:US
Practice Address - Phone:303-388-1082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72471786Medicaid