GJ-Mac Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GJ-MAC ENTERPRISES LLC

Doing business as

Home Instead Senior Care

Practice address

506 N State Street
Clarks Summit, PA 18411

Phone

(570) 586-3135

Fax

(570) 586-2951

NPI assigned

Aug 1, 2019

Organization subpart

No

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

Authorized official

Name

Gary McDonough

Title

Owner

Phone

(570) 586-3135

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1386298842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N STATE STREET",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18411",
            "telephone_number": "570-586-3135",
            "fax_number": "570-586-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N STATE STREET",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "18411",
            "telephone_number": "570-586-3135",
            "fax_number": "570-586-2951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2885 Route 611 Suite 1",
            "address_purpose": "LOCATION",
            "city": "Tannersville",
            "state": "PA",
            "postal_code": "18372",
            "country_code": "US",
            "telephone_number": "570-629-3800",
            "fax_number": "570-586-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GJ-MAC ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-586-3135"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geisinger Clinic (PrimeMed Medical Grp Clark Summit in collaboration w/ Geisinger Clinic)
• Hilary Lyn Genasevich, PSY.D.
• Andrea Genello, PSY. D.
• Sumit Ghosh, MD
• Sandra L Giacometti, MA,LPC,CAC
• Michael Francis Gleeson, MD/ESQ.
• Mary Jane Gloria
• Emily Golden
• Judith S. Golden, PH.D.
• Michael H Gordon, MD

• In Home Supportive Care Agency in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.