Provider Demographics
NPI:1023864964
Name:GURDIANGRACE HOMECARE LLC
Entity type:Organization
Organization Name:GURDIANGRACE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BAHADUR
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-257-1031
Mailing Address - Street 1:934 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-1746
Mailing Address - Country:US
Mailing Address - Phone:267-257-1031
Mailing Address - Fax:
Practice Address - Street 1:934 W NORTH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-1746
Practice Address - Country:US
Practice Address - Phone:267-257-1031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care