Provider Demographics
NPI:1598151524
Name:GENTLE TOUCH HOSPICE, INC.
Entity Type:Organization
Organization Name:GENTLE TOUCH HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/ADM/DPCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERLY
Authorized Official - Middle Name:PLACENCIA
Authorized Official - Last Name:GUNDRY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-219-6045
Mailing Address - Street 1:6309 VAN NUYS BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6613
Mailing Address - Country:US
Mailing Address - Phone:818-219-6045
Mailing Address - Fax:818-925-3130
Practice Address - Street 1:6309 VAN NUYS BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6613
Practice Address - Country:US
Practice Address - Phone:818-219-6045
Practice Address - Fax:818-925-3130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based