Gem Home Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME115 Issued in ID

Legal business name

GEM HOME MEDICAL INC

Practice address

811 S Washington Ave
Emmett, ID 83617-3528

Phone

(208) 365-6143

Fax

(208) 365-5342

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert A. Fry

Title

President

Phone

(208) 365-6143

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356448252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173528",
            "telephone_number": "208-365-6143",
            "fax_number": "208-365-5342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173528",
            "telephone_number": "208-365-6143",
            "fax_number": "208-365-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-365-6143",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gem Family Medicine LLC
• Gem Family Practice
• Gem Family Practice, Inc
• Gem Healthcare, Inc. (River's Edge Rehabilitation and Living Center)
• Gem Home Health
• Gem Vision, PC (Gem Vision)
• Joshua Golden, DPT
• Paden Gonzales
• Ryan Thomas Gudenkauf
• Guided Growth Behavior Support, PLLC

• Durable Medical Equipment & Medical Supplies in Emmett, ID
• Providers in Emmett, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.