Provider Demographics
NPI:1437030897
Name:GC & KC HOLDINGS I, LLC
Entity type:Organization
Organization Name:GC & KC HOLDINGS I, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-586-4947
Mailing Address - Street 1:9368 N GENTLE BREEZE LOOP
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-4985
Mailing Address - Country:US
Mailing Address - Phone:352-586-4947
Mailing Address - Fax:352-513-4428
Practice Address - Street 1:9368 N GENTLE BREEZE LOOP
Practice Address - Street 2:
Practice Address - City:CITRUS SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34434-4985
Practice Address - Country:US
Practice Address - Phone:352-586-4947
Practice Address - Fax:352-513-4428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11828OtherAHCA