Provider Demographics
NPI:1689385510
Name:GM CARE HOME HEALTH INC
Entity Type:Organization
Organization Name:GM CARE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:GUILLERMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-594-0114
Mailing Address - Street 1:620 W ROUTE 66 STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-4173
Mailing Address - Country:US
Mailing Address - Phone:626-594-0114
Mailing Address - Fax:
Practice Address - Street 1:620 W ROUTE 66 STE 201
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-4173
Practice Address - Country:US
Practice Address - Phone:626-594-0114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health