Provider Demographics
NPI:1124413414
Name:A GENTLE TOUCH HOME HEALTH
Entity Type:Organization
Organization Name:A GENTLE TOUCH HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:F
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-230-0564
Mailing Address - Street 1:3166 ESTES ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-2815
Mailing Address - Country:US
Mailing Address - Phone:901-230-0564
Mailing Address - Fax:901-509-2863
Practice Address - Street 1:3166 ESTES ST
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-2815
Practice Address - Country:US
Practice Address - Phone:901-230-0564
Practice Address - Fax:901-509-2863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN364SH0200X374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN193400000XOtherMEDICARE
TN193400000XMedicaid