Provider Demographics
NPI:1942277967
Name:GURUSAMY INC.
Entity Type:Organization
Organization Name:GURUSAMY INC.
Other - Org Name:HEALTH SERVICES OF THE PACIFIC - HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:GURUSAMY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MN
Authorized Official - Phone:671-647-5355
Mailing Address - Street 1:PO BOX 8838
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96931-8838
Mailing Address - Country:US
Mailing Address - Phone:671-647-5355
Mailing Address - Fax:671-647-5358
Practice Address - Street 1:655 HARMON LOOP RD STE 102
Practice Address - Street 2:
Practice Address - City:DEDEDO
Practice Address - State:GU
Practice Address - Zip Code:96929-6544
Practice Address - Country:US
Practice Address - Phone:671-647-5355
Practice Address - Fax:671-989-8836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GU13-200400954-010207Q00000X, 207Q00000X
GU13-200400954-002225100000X
GU13200400954001251E00000X
GU13200400954003251G00000X
341600000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GUCC459AMedicare Oscar/Certification
GUCQ073AMedicare Oscar/Certification
GU6553880001Medicare Oscar/Certification
GUH108896Medicare Oscar/Certification
GU651500Medicare Oscar/Certification
GU657004Medicare Oscar/Certification