Provider Demographics
NPI:1770658114
Name:GENTLE HANDS, INC.
Entity Type:Organization
Organization Name:GENTLE HANDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-865-8787
Mailing Address - Street 1:18327 GRIDLEY RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-5437
Mailing Address - Country:US
Mailing Address - Phone:562-865-8787
Mailing Address - Fax:562-865-5353
Practice Address - Street 1:18327 GRIDLEY RD
Practice Address - Street 2:SUITE H
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-5437
Practice Address - Country:US
Practice Address - Phone:562-865-8787
Practice Address - Fax:562-865-5353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA980001510251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA058291Medicare Oscar/Certification