Provider Demographics
NPI:1154490571
Name:GENTLE CARE HOSPICE, INC.
Entity Type:Organization
Organization Name:GENTLE CARE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:RIPALDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-773-8884
Mailing Address - Street 1:8619 RESEDA BLVD.
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4044
Mailing Address - Country:US
Mailing Address - Phone:818-773-8884
Mailing Address - Fax:818-773-9891
Practice Address - Street 1:8619 RESEDA BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4044
Practice Address - Country:US
Practice Address - Phone:818-772-2910
Practice Address - Fax:919-772-8361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based