Provider Demographics
NPI:1013668490
Name:GENTLE HEARTS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:GENTLE HEARTS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAMATOY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-586-0785
Mailing Address - Street 1:3017 W CHARLESTON BLVD.
Mailing Address - Street 2:SUITE 51
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-586-0785
Mailing Address - Fax:702-586-0190
Practice Address - Street 1:3017 W CHARLESTON BLVD.
Practice Address - Street 2:SUITE 51
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-586-0785
Practice Address - Fax:702-586-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health