Provider Demographics
NPI:1922250265
Name:GENTLE CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:GENTLE CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-365-0577
Mailing Address - Street 1:28570 MARGUERITE PKWY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-3713
Mailing Address - Country:US
Mailing Address - Phone:949-365-0577
Mailing Address - Fax:949-365-0576
Practice Address - Street 1:28570 MARGUERITE PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3713
Practice Address - Country:US
Practice Address - Phone:949-365-0577
Practice Address - Fax:949-365-0576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health