Provider Demographics
NPI:1255014296
Name:GENTLE COMPANIONS HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:GENTLE COMPANIONS HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:DRAKEFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-929-2216
Mailing Address - Street 1:23696 TRAIL RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48174-9308
Mailing Address - Country:US
Mailing Address - Phone:248-929-2216
Mailing Address - Fax:
Practice Address - Street 1:23696 TRAIL RIDGE DR
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48174-9308
Practice Address - Country:US
Practice Address - Phone:248-747-0917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health