Provider Demographics
NPI:1952123697
Name:GELLA DIGNITY CARE SERVICES
Entity type:Organization
Organization Name:GELLA DIGNITY CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:IHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-986-5429
Mailing Address - Street 1:2279 COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-3008
Mailing Address - Country:US
Mailing Address - Phone:516-986-5429
Mailing Address - Fax:516-825-0112
Practice Address - Street 1:550 W MERRICK RD STE 3
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5101
Practice Address - Country:US
Practice Address - Phone:516-200-3850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)