Provider Demographics
NPI:1053068486
Name:GENTLE AND CARING HANDS ASSISTANT LIVING LLC
Entity Type:Organization
Organization Name:GENTLE AND CARING HANDS ASSISTANT LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-803-1059
Mailing Address - Street 1:901 SOUTHERLY RD UNIT 104
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-0003
Mailing Address - Country:US
Mailing Address - Phone:443-803-1059
Mailing Address - Fax:
Practice Address - Street 1:2850 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-2826
Practice Address - Country:US
Practice Address - Phone:443-803-1059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-05
Last Update Date:2022-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health