Provider Demographics
NPI:1477362051
Name:GENTLE CARE EMS LLC
Entity type:Organization
Organization Name:GENTLE CARE EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS-FAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-543-9091
Mailing Address - Street 1:3477 HANCOCK VW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-5068
Mailing Address - Country:US
Mailing Address - Phone:404-543-9091
Mailing Address - Fax:
Practice Address - Street 1:1780 ROGERS LAKE RD
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058
Practice Address - Country:US
Practice Address - Phone:404-543-9091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport