Provider Demographics
NPI:1922763804
Name:GENTLE TOUCH TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:GENTLE TOUCH TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-772-3100
Mailing Address - Street 1:3435 HAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-6050
Mailing Address - Country:US
Mailing Address - Phone:614-772-3100
Mailing Address - Fax:
Practice Address - Street 1:3435 HAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-6050
Practice Address - Country:US
Practice Address - Phone:614-772-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)