Provider Demographics
NPI:1700407749
Name:GEN'S GENTLE TOUCH HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:GEN'S GENTLE TOUCH HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GENESIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-209-8047
Mailing Address - Street 1:3417 LEBANON PIKE APT G106
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2023
Mailing Address - Country:US
Mailing Address - Phone:615-209-8047
Mailing Address - Fax:
Practice Address - Street 1:3417 LEBANON PIKE APT G106
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2023
Practice Address - Country:US
Practice Address - Phone:615-209-8047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty