Active NPI
Gem Home Healthcare, Inc.
- Home Health Agency
- Placerville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GEM HOME HEALTHCARE, INC.
- Practice address
- 5465 Merchant Cir Ste 5
Placerville, CA 95667-9729 - Phone
- (530) 206-0155
- NPI assigned
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosemary Parker
- Title
- Director of Patient Care, Owner
- Phone
- (530) 206-0155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5465 Merchant Cir Ste 5
Placerville, CA 95667-9729
Mailing address
5465 Merchant Cir Ste 5
Placerville, CA 95667-9729
Phone (530) 206-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250605001495 | CA | Part A Provider - Home Health Agency | 4587173919 | Practice locations: Placerville, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245080001. Details of each certification follow.
Home health agency certification: CCN 758088
- Legal name
- GEM HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 29, 2025
- Last certification
- Aug 21, 2025
- Organization structure
- Corporation
- Enrollment address
- 5465 Merchant Cir
Ste 5
Placerville, CA 95667-9729
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Gem Home Healthcare, Inc.
- Ownership
- -
- Certified
- Aug 29, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2319908 | Gem Home Healthcare, Inc | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
5465 Merchant Cir
Ste 5
Placerville, CA 95667
Phone (530) 206-0155
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Irena Basmhdzayan | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 33.34% |
| Corporate Officer | Mar 1, 2024 | 33.34% | |
| W-2 Managing Employee | Mar 1, 2024 | 33.34% | |
| Ellen Manukyan | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 33.33% |
| Corporate Officer | Mar 1, 2024 | 33.33% | |
| Corporate Director | Mar 1, 2024 | 33.33% | |
| W-2 Managing Employee | Mar 1, 2024 | 33.33% | |
| Rosemary Parker | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 33.33% |
| Corporate Officer | Mar 1, 2024 | 33.33% | |
| Corporate Director | Mar 1, 2024 | 33.33% | |
| W-2 Managing Employee | Mar 1, 2024 | 33.33% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1245080001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 MERCHANT CIR STE 5",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679729",
"telephone_number": "530-206-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5465 MERCHANT CIR STE 5",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956679729",
"telephone_number": "530-206-0155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEM HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE, OWNER",
"authorized_official_telephone_number": "530-206-0155"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.