Provider Demographics
NPI:1083139778
Name:THE GENTLE HANDS CARE AGENCY, LLC
Entity Type:Organization
Organization Name:THE GENTLE HANDS CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SHERMAINE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-252-5224
Mailing Address - Street 1:1487 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1538
Mailing Address - Country:US
Mailing Address - Phone:614-252-5224
Mailing Address - Fax:614-253-2407
Practice Address - Street 1:1487 MADISON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1538
Practice Address - Country:US
Practice Address - Phone:614-252-5224
Practice Address - Fax:614-253-2407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0095027347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0095027Medicaid