Provider Demographics
NPI:1629788666
Name:GENTLE CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:GENTLE CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERS
Authorized Official - Prefix:
Authorized Official - First Name:DON/ JIMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL/ FITZGERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-944-3380
Mailing Address - Street 1:813 ARNOLD PALMER DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-2101
Mailing Address - Country:US
Mailing Address - Phone:757-944-3380
Mailing Address - Fax:
Practice Address - Street 1:813 ARNOLD PALMER DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-2101
Practice Address - Country:US
Practice Address - Phone:757-944-3380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health