Provider Demographics
NPI:1003696691
Name:GENTLE CARE HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GENTLE CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAEKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-701-5831
Mailing Address - Street 1:9465 COUNSELORS ROW SUITE 200 ROOM 257
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-3817
Mailing Address - Country:US
Mailing Address - Phone:317-701-5831
Mailing Address - Fax:
Practice Address - Street 1:9465 COUNSELORS ROW SUITE 200 ROOM 257
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3817
Practice Address - Country:US
Practice Address - Phone:317-701-5831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health