Provider Demographics
NPI:1013534734
Name:GENTLE HANDS TOTAL HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:GENTLE HANDS TOTAL HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOMICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-STATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-520-8250
Mailing Address - Street 1:972 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-4125
Mailing Address - Country:US
Mailing Address - Phone:215-520-8250
Mailing Address - Fax:
Practice Address - Street 1:972 DOGWOOD LN
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4125
Practice Address - Country:US
Practice Address - Phone:215-520-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health