Provider Demographics
NPI:1922045293
Name:GENTLE HANDS HEALTH CARE SERVICES CORP.
Entity Type:Organization
Organization Name:GENTLE HANDS HEALTH CARE SERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ-JORCANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-663-0886
Mailing Address - Street 1:9415 SW 72ND ST STE 288
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5430
Mailing Address - Country:US
Mailing Address - Phone:305-663-0886
Mailing Address - Fax:305-663-1393
Practice Address - Street 1:9415 SW 72ND ST STE 288
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5430
Practice Address - Country:US
Practice Address - Phone:305-663-0886
Practice Address - Fax:305-663-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL204000961251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651173200Medicaid