Provider Demographics
NPI:1295540912
Name:GENTLE AND CARING RESIDENTIAL HOME LLC
Entity type:Organization
Organization Name:GENTLE AND CARING RESIDENTIAL HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:FLUCAS NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:448-213-5778
Mailing Address - Street 1:827 FOOTMAN LN
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-8078
Mailing Address - Country:US
Mailing Address - Phone:448-213-5778
Mailing Address - Fax:
Practice Address - Street 1:827 FOOTMAN LN
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32317-8078
Practice Address - Country:US
Practice Address - Phone:448-213-5778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities