Provider Demographics
NPI:1942090535
Name:GGM HOMECARE, CORP
Entity type:Organization
Organization Name:GGM HOMECARE, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VP
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMANUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-513-1735
Mailing Address - Street 1:389 PALM COAST PKWY SW UNIT 3P
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-4772
Mailing Address - Country:US
Mailing Address - Phone:917-513-1735
Mailing Address - Fax:386-597-1938
Practice Address - Street 1:389 PALM COAST PKWY SW UNIT 3P
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-4772
Practice Address - Country:US
Practice Address - Phone:917-513-1735
Practice Address - Fax:386-597-1938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health