Gemini Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GEMINI GROUP, LLC

Practice address

5045 E Paradise LN
Scottsdale, AZ 85254-1045

Phone

(602) 494-7101

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer Deitchman

Title

Manager

Phone

(480) 455-7975

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1841837499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853771213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 E PARADISE LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541045",
            "telephone_number": "602-494-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "DEITCHMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-455-7975"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438403",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ilyssa Eve Geist, PT, DPT
• Cara Gelbart, M.S., CCC-SLP
• Sharon Kay Gelinas, OTR
• Gem Academy LLC
• Christian Gemignani, RBT
• Kelly Darlyne Gemmill, LMSW
• Genesis Behavioral Therapy Group
• Lynn Ann Genet, D.C.
• Genetic Technological Innovations, LLC
• Michael J Gengle, PA-C, DDS

• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.