Provider Demographics
NPI:1609642768
Name:GENTLE HEART HOME HEALTH INC
Entity Type:Organization
Organization Name:GENTLE HEART HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/
Authorized Official - Prefix:
Authorized Official - First Name:MEHRDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHRIARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-621-3492
Mailing Address - Street 1:9325 RUBIO AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3617
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18711 SHERMAN WAY UNIT 106C
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4086
Practice Address - Country:US
Practice Address - Phone:818-714-1791
Practice Address - Fax:818-392-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-30
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health