Provider Demographics
NPI:1649752619
Name:GENTLE TOUCH HEALTH INITIATIVES, LLC
Entity Type:Organization
Organization Name:GENTLE TOUCH HEALTH INITIATIVES, LLC
Other - Org Name:GLENN BUFFALO, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF SENIOR HOUSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:763-377-1800
Mailing Address - Street 1:5000 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-5146
Mailing Address - Country:US
Mailing Address - Phone:763-377-1800
Mailing Address - Fax:763-377-7291
Practice Address - Street 1:201 1ST ST NE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-1550
Practice Address - Country:US
Practice Address - Phone:763-682-5489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility