Provider Demographics
NPI:1568467819
Name:GENTLE HOME SERVICES, INC.
Entity Type:Organization
Organization Name:GENTLE HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:BERLIANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-444-1222
Mailing Address - Street 1:570 LAKE COOK RD.
Mailing Address - Street 2:STE 116
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015
Mailing Address - Country:US
Mailing Address - Phone:847-444-1222
Mailing Address - Fax:847-444-1333
Practice Address - Street 1:570 LAKE COOK RD
Practice Address - Street 2:STE 204
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4955
Practice Address - Country:US
Practice Address - Phone:847-444-1222
Practice Address - Fax:847-444-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-14
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1006188251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1006188OtherHOME HEALTH LICENSE
IL147550Medicare ID - Type UnspecifiedHOME HEALTH AGENCY