Provider Demographics
NPI:1275941015
Name:GENTLE HANDS HOME HEALTHCARE
Entity Type:Organization
Organization Name:GENTLE HANDS HOME HEALTHCARE
Other - Org Name:GENTLE HANDS HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:ELLIS EL
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MS
Authorized Official - Phone:757-495-1451
Mailing Address - Street 1:810 KEMPSVILLE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-2723
Mailing Address - Country:US
Mailing Address - Phone:757-495-1451
Mailing Address - Fax:757-495-1453
Practice Address - Street 1:810 KEMPSVILLE RD STE 2
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-2723
Practice Address - Country:US
Practice Address - Phone:757-495-1451
Practice Address - Fax:757-495-1453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2015-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care