Provider Demographics
NPI:1225575830
Name:GENTLE TOUCH HOME HEALTH CARE
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING AND CODING
Authorized Official - Prefix:
Authorized Official - First Name:JENNFER
Authorized Official - Middle Name:DENICE
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-738-9152
Mailing Address - Street 1:3421 VIMY RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23509-2041
Mailing Address - Country:US
Mailing Address - Phone:757-738-9152
Mailing Address - Fax:
Practice Address - Street 1:3421 VIMY RIDGE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23509-2041
Practice Address - Country:US
Practice Address - Phone:757-738-9152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization