Provider Demographics
NPI:1205660818
Name:GENTLE GAINES HOME HEALTH LLC
Entity type:Organization
Organization Name:GENTLE GAINES HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:PIGGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-599-4955
Mailing Address - Street 1:11912 BRANRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BLACK JACK
Mailing Address - State:MO
Mailing Address - Zip Code:63033-7421
Mailing Address - Country:US
Mailing Address - Phone:314-599-4955
Mailing Address - Fax:
Practice Address - Street 1:4600 UNION BLVD #161
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115
Practice Address - Country:US
Practice Address - Phone:314-599-4955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health