Provider Demographics
NPI:1720545379
Name:GENTLE TOUCH CARING HEARTS
Entity Type:Organization
Organization Name:GENTLE TOUCH CARING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-530-7044
Mailing Address - Street 1:35 WOODVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-1628
Mailing Address - Country:US
Mailing Address - Phone:631-530-7044
Mailing Address - Fax:
Practice Address - Street 1:35 WOODVILLE RD
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-1628
Practice Address - Country:US
Practice Address - Phone:631-530-7044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-01
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health