Provider Demographics
NPI:1114022241
Name:GENTLE TOUCH HOME CARE INC.
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME CARE INC.
Other - Org Name:TEAM MEDICAL STAFFING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLETTE
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:RIVERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:433-250-4225
Mailing Address - Street 1:923 LENTON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3210
Mailing Address - Country:US
Mailing Address - Phone:410-433-8429
Mailing Address - Fax:410-433-1329
Practice Address - Street 1:1045 TAYLOR AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-8331
Practice Address - Country:US
Practice Address - Phone:410-296-5566
Practice Address - Fax:410-433-1329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2456P251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care