Provider Demographics
NPI:1548430457
Name:A PLUS GENTLE CARE
Entity Type:Organization
Organization Name:A PLUS GENTLE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-246-1400
Mailing Address - Street 1:1005 N KROME AVE
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4460
Mailing Address - Country:US
Mailing Address - Phone:305-246-1400
Mailing Address - Fax:
Practice Address - Street 1:1005 N KROME AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4460
Practice Address - Country:US
Practice Address - Phone:305-246-1400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211261251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health