Provider Demographics
NPI:1437498151
Name:GENTLE HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:GENTLE HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KAGAI
Authorized Official - Middle Name:
Authorized Official - Last Name:MWANGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-996-9790
Mailing Address - Street 1:49 BLANCHARD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1456
Mailing Address - Country:US
Mailing Address - Phone:978-996-9790
Mailing Address - Fax:978-258-8419
Practice Address - Street 1:49 BLANCHARD ST STE 101
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1456
Practice Address - Country:US
Practice Address - Phone:978-996-9790
Practice Address - Fax:978-258-8419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110100292AMedicaid
MA110100292AMedicaid