Provider Demographics
NPI:1790868172
Name:GT HOME CARE LLC
Entity Type:Organization
Organization Name:GT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GWANZELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEMORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:281-381-4946
Mailing Address - Street 1:5680 HIGHWAY 6
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4188
Mailing Address - Country:US
Mailing Address - Phone:281-381-4946
Mailing Address - Fax:281-431-5956
Practice Address - Street 1:1414 HUNTER GREEN LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-9596
Practice Address - Country:US
Practice Address - Phone:281-381-4946
Practice Address - Fax:281-431-5956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty