Provider Demographics
NPI:1629441522
Name:GENTLE TOUCH HOME HEALTH CARE
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHEAMPONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-763-4717
Mailing Address - Street 1:13168 CENTERPOINTE WAY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5287
Mailing Address - Country:US
Mailing Address - Phone:703-763-4717
Mailing Address - Fax:703-439-2604
Practice Address - Street 1:13168 CENTERPOINTE WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5287
Practice Address - Country:US
Practice Address - Phone:703-763-4717
Practice Address - Fax:703-439-2604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO-16589251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health