Provider Demographics
NPI:1770228199
Name:GENTLE TOUCH HOME ASSIST LLC
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:ABRENILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-733-6780
Mailing Address - Street 1:1479 CALENDULA CT
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-3981
Mailing Address - Country:US
Mailing Address - Phone:630-800-9615
Mailing Address - Fax:
Practice Address - Street 1:24014 W RENWICK RD STE 105-1
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-8708
Practice Address - Country:US
Practice Address - Phone:815-733-6780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty