Provider Demographics
NPI:1942669486
Name:GM HOME CARE, LLC
Entity Type:Organization
Organization Name:GM HOME CARE, LLC
Other - Org Name:BRIGHTSTAR CARE OF BEDFORD/MANCHESTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANICKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-498-7864
Mailing Address - Street 1:170 S RIVER RD
Mailing Address - Street 2:BLDG 1 STE 208
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6941
Mailing Address - Country:US
Mailing Address - Phone:603-637-4646
Mailing Address - Fax:603-935-8590
Practice Address - Street 1:170 S RIVER RD
Practice Address - Street 2:BLDG 1 STE 208
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6941
Practice Address - Country:US
Practice Address - Phone:603-637-4646
Practice Address - Fax:603-935-8590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04114251E00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care