Organization Active NPI

Gem Home Healthcare, Inc.

  • Home Health Agency
  • Placerville, CA
National Provider Identifier
1245080001
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 29, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
5465 Merchant Cir
Ste 5
Placerville, CA 95667-9729
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gem Home Healthcare, Inc.CCN 758088 · All quality measures
Ownership
-
Certified
Aug 29, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2319908Gem Home Healthcare, Inc5465 Merchant Circle Suite 5, Placerville, CA 95667Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Irena Basmhdzayan Individual 5% Or Greater Direct Ownership InterestVice President Mar 1, 2024 33.34%
Corporate OfficerVice President Mar 1, 2024 33.34%
W-2 Managing EmployeeVice President Mar 1, 2024 33.34%
Ellen Manukyan Individual 5% Or Greater Direct Ownership InterestSecretary Mar 1, 2024 33.33%
Corporate OfficerSecretary Mar 1, 2024 33.33%
Corporate DirectorSecretary Mar 1, 2024 33.33%
W-2 Managing Employee Mar 1, 2024 33.33%
Rosemary Parker Individual 5% Or Greater Direct Ownership InterestCeo Cfo Mar 1, 2024 33.33%
Corporate OfficerCeo Cfo Mar 1, 2024 33.33%
Corporate DirectorCeo Cfo Mar 1, 2024 33.33%
W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.