Provider Demographics
NPI:1841565587
Name:GENTLE TOUCH HOME CARE, LLC
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-566-9020
Mailing Address - Street 1:10636 SCRIPPS SUMMIT CT STE 142
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-3979
Mailing Address - Country:US
Mailing Address - Phone:858-566-9020
Mailing Address - Fax:858-566-9021
Practice Address - Street 1:10636 SCRIPPS SUMMIT CT STE 142
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-3979
Practice Address - Country:US
Practice Address - Phone:858-566-9020
Practice Address - Fax:858-566-9021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING ANGELS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABC-006878253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care