Provider Demographics
NPI:1548818875
Name:GOLD STANDARD HOME HEALTH LLC
Entity type:Organization
Organization Name:GOLD STANDARD HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROOTH
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:979-201-8674
Mailing Address - Street 1:1913 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-5112
Mailing Address - Country:US
Mailing Address - Phone:979-240-8756
Mailing Address - Fax:979-201-8677
Practice Address - Street 1:1913 7TH ST STE A
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-5112
Practice Address - Country:US
Practice Address - Phone:979-201-8674
Practice Address - Fax:979-201-8677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health