Provider Demographics
NPI:1275270662
Name:GENTLE SOULS HOSPICE AND PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:GENTLE SOULS HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-308-5136
Mailing Address - Street 1:6001 SAVOY DR STE 205A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-3322
Mailing Address - Country:US
Mailing Address - Phone:713-513-0095
Mailing Address - Fax:832-968-6692
Practice Address - Street 1:6001 SAVOY DR STE 205A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3322
Practice Address - Country:US
Practice Address - Phone:832-308-5136
Practice Address - Fax:832-968-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based