Provider Demographics
NPI:1235200742
Name:GENTAL HANDS HOME HEALTH
Entity Type:Organization
Organization Name:GENTAL HANDS HOME HEALTH
Other - Org Name:GE3NTAL HANDS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-506-4136
Mailing Address - Street 1:5960 MANNING RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-1081
Mailing Address - Country:US
Mailing Address - Phone:317-506-4136
Mailing Address - Fax:
Practice Address - Street 1:5960 MANNING RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-1081
Practice Address - Country:US
Practice Address - Phone:317-506-4136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health