Provider Demographics
NPI:1154669851
Name:GENTLE HANDS HOME MEDICAL LLC
Entity Type:Organization
Organization Name:GENTLE HANDS HOME MEDICAL LLC
Other - Org Name:GENTLE HANDS HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-310-7803
Mailing Address - Street 1:1530 S 825 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7428
Mailing Address - Country:US
Mailing Address - Phone:801-310-7803
Mailing Address - Fax:
Practice Address - Street 1:1530 S 825 W
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-7428
Practice Address - Country:US
Practice Address - Phone:801-310-7803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8544335-0162251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health