Provider Demographics
NPI:1609054261
Name:GENTLE CARE INC.
Entity Type:Organization
Organization Name:GENTLE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:757-873-4555
Mailing Address - Street 1:751 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE J
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3563
Mailing Address - Country:US
Mailing Address - Phone:757-873-4555
Mailing Address - Fax:757-873-4587
Practice Address - Street 1:751 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE J
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3563
Practice Address - Country:US
Practice Address - Phone:757-873-4555
Practice Address - Fax:757-873-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO- 08357305R00000X
VAHCO-08357385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No385H00000XRespite Care FacilityRespite Care