Gem Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH130 Issued in ID

Legal business name

GEM HOME HEALTH

Practice address

1024 E Locust St
Emmett, ID 83617-2776

Phone

(208) 365-3561

Fax

(208) 365-4176

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Max Long

Title

Ceo / Administrator

Phone

(208) 365-3561

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Walter Knox Me Morial Hos5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Surgical Specialties Clinic

  • Surgery Physician
  • Emmett, ID
  • NPI 1821334657
  NPD tax ID
• Walter Knox Memorial Hospital

  • Rural Health Clinic/Center
  • Emmett, ID
  • NPI 1114374055
  NPD tax ID
• Walter Knox Memorial Hospital

  dba Valor Health

  • Medicare Defined Swing Bed Hospital Unit
  • Emmett, ID
  • NPI 1700909983
  NPD tax ID
• Walter Knox Memorial Hospital

  • Family Medicine Physician
  • Emmett, ID
  • NPI 1861284721
  NPD tax ID

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922007004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172715",
            "telephone_number": "208-365-3561",
            "fax_number": "208-365-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172776",
            "telephone_number": "208-365-3561",
            "fax_number": "208-365-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "CEO / ADMINISTRATOR",
        "authorized_official_telephone_number": "208-365-3561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010014860",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01818",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbi Jo Geiger, LCPC
• Gem Family Medicine LLC
• Gem Family Practice
• Gem Family Practice, Inc
• Gem Healthcare, Inc. (River's Edge Rehabilitation and Living Center)
• Gem Home Medical Inc
• Gem Vision, PC (Gem Vision)
• Joshua Golden, DPT
• Paden Gonzales
• Ryan Thomas Gudenkauf

• Home Health Agency in Emmett, ID
• Providers in Emmett, ID by specialty
• Home Health Agency 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.