Provider Demographics
NPI:1760676522
Name:GENTLE CARE HEALTH REGISTRY, INC.
Entity Type:Organization
Organization Name:GENTLE CARE HEALTH REGISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:INKSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-506-2375
Mailing Address - Street 1:27740 JEFFERSON AVE
Mailing Address - Street 2:STE. 230
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-2698
Mailing Address - Country:US
Mailing Address - Phone:951-506-2375
Mailing Address - Fax:951-695-2892
Practice Address - Street 1:27740 JEFFERSON AVE
Practice Address - Street 2:STE. 230
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-2698
Practice Address - Country:US
Practice Address - Phone:951-506-2375
Practice Address - Fax:951-695-2892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care