Provider Demographics
NPI:1922484278
Name:GSM HOME CARE,INC
Entity Type:Organization
Organization Name:GSM HOME CARE,INC
Other - Org Name:PROVIDENCE HOME CARE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEROTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-252-9022
Mailing Address - Street 1:300 W BUTLER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2585
Mailing Address - Country:US
Mailing Address - Phone:864-252-9022
Mailing Address - Fax:864-751-1252
Practice Address - Street 1:300 W BUTLER RD
Practice Address - Street 2:SUITE B
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2585
Practice Address - Country:US
Practice Address - Phone:864-252-9022
Practice Address - Fax:864-751-1252
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GSM HOME CARE,INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-09
Last Update Date:2015-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health