Provider Demographics
NPI:1497110126
Name:GENTLE TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FAREEDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-499-7116
Mailing Address - Street 1:6515 EVERETT ST
Mailing Address - Street 2:A 309
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2713
Mailing Address - Country:US
Mailing Address - Phone:267-499-7116
Mailing Address - Fax:
Practice Address - Street 1:6515 EVERETT ST
Practice Address - Street 2:A 309
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2713
Practice Address - Country:US
Practice Address - Phone:267-499-7116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA29323601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care