Gemmer Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GEMMER GROUP HOME

Practice address

20 Brace Rd FL 4
Cherry Hill, NJ 08034-2634

Phone

(267) 992-4234

NPI assigned

Dec 6, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Zekarias Kidane

Title

Owner

Phone

(267) 992-4234

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1144867359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BRACE RD FL 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BRACE RD FL 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342634",
            "telephone_number": "267-992-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMMER GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "KIDANE",
        "authorized_official_first_name": "ZEKARIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-992-4234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geannine M. Lebude LLC
• Carolyn Geba, PSYD
• Robert Gee, PT, DPT, CPT, CSCS
• Daniel Gelardi
• Victoria Gellis, APN
• Cara Genbauffe, PSYD
• Jessica Gencarelli
• Gene Levinstein MD LLC
• Ancy George, PT
• Delia J George, REGISTERED NURSE

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.