Provider Demographics
NPI:1821365933
Name:GEMRAE, LLC
Entity Type:Organization
Organization Name:GEMRAE, LLC
Other - Org Name:COMFORT KEEPERS #318
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-874-4880
Mailing Address - Street 1:109 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-1586
Mailing Address - Country:US
Mailing Address - Phone:419-874-4880
Mailing Address - Fax:866-254-0116
Practice Address - Street 1:109 W 5TH ST
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-1586
Practice Address - Country:US
Practice Address - Phone:419-874-4880
Practice Address - Fax:866-254-0116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health