Provider Demographics
NPI:1689467482
Name:GEM HOME CARE LLC
Entity type:Organization
Organization Name:GEM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAEB
Authorized Official - Middle Name:
Authorized Official - Last Name:ASAMARAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-339-8658
Mailing Address - Street 1:2300 GERVAIS HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-6039
Mailing Address - Country:US
Mailing Address - Phone:763-339-8658
Mailing Address - Fax:
Practice Address - Street 1:2300 GERVAIS HILLS DR
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117-6039
Practice Address - Country:US
Practice Address - Phone:763-339-8658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health