GEM INITIATIVE; NPI #1043956394

Contact Information

GEM INITIATIVE

700 E 80TH ST
LOS ANGELES, CA 90001-3210

Phone: 310-720-7165
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Respite Care	385H00000X
Adult Care Home	311ZA0620X
Assisted Living Facility	310400000X
Custodial Care Facility	311Z00000X
Hospice Care, Community Based	251G00000X	B4[14]	Hospice
Intermediate Care, Mental Illness	310500000X
Lodging	177F00000X
Meals	174200000X
Nursing Care	251J00000X
Private Vehicle	347C00000X
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization	251T00000X
Residential Treatment Facility, Physical Disabilities	320700000X

Indicates primary specialty

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NPI Profile & details for GEM INITIATIVE

NPI #	`1043956394`
LBN Legal business name	GEM INITIATIVE
Authorized official	SOPHESIAS JOHNSON - (ADMINISTRATOR/OW ER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/10/2022
Last updated	01/17/2026 - About 5 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GEM INITIATIVE

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NPI Profile & details for GEM INITIATIVE

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