Provider Demographics
NPI:1275900532
Name:GENTLE CARE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:GENTLE CARE HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DALZINA
Authorized Official - Middle Name:LAKEISHA
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-808-5358
Mailing Address - Street 1:142 ALLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2905
Mailing Address - Country:US
Mailing Address - Phone:410-808-5258
Mailing Address - Fax:443-682-8260
Practice Address - Street 1:142 ALLENDALE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2905
Practice Address - Country:US
Practice Address - Phone:410-808-5258
Practice Address - Fax:443-682-8260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3757251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health