Provider Demographics
NPI:1477787331
Name:GENTLE TOUCH HOME CARE
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-690-5594
Mailing Address - Street 1:1677 WESTCHESTER DR.
Mailing Address - Street 2:SUITE 142
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7571
Mailing Address - Country:US
Mailing Address - Phone:336-434-6235
Mailing Address - Fax:336-434-9806
Practice Address - Street 1:1677 WESTCHESTER DR.
Practice Address - Street 2:SUITE 142
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-7571
Practice Address - Country:US
Practice Address - Phone:336-434-6235
Practice Address - Fax:336-434-9806
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENTLE TOUCH HOME CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-07
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3454251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601538Medicaid