Provider Demographics
NPI:1891212205
Name:GENTLE TOUCH HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:GENTLE TOUCH HOME HEALTH SERVICES
Other - Org Name:GENTLE TOUCH HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCCLEASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-975-3132
Mailing Address - Street 1:911 S CLUB HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6301
Mailing Address - Country:US
Mailing Address - Phone:305-896-2047
Mailing Address - Fax:
Practice Address - Street 1:911 S CLUB HOUSE RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6301
Practice Address - Country:US
Practice Address - Phone:305-896-2047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherTAX IDENTIFICATION NUMBER