Provider Demographics
NPI:1821434747
Name:GENTLE TOUCH COMPANION CARE, INC
Entity Type:Organization
Organization Name:GENTLE TOUCH COMPANION CARE, INC
Other - Org Name:HEARTS AT HOME COMPANION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-310-4000
Mailing Address - Street 1:320 W MAIN ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-1354
Mailing Address - Country:US
Mailing Address - Phone:405-310-4000
Mailing Address - Fax:405-310-4664
Practice Address - Street 1:320 W MAIN ST
Practice Address - Street 2:SUITE E
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-1354
Practice Address - Country:US
Practice Address - Phone:405-310-4000
Practice Address - Fax:405-310-4664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-19
Last Update Date:2013-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7952253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care