Provider Demographics
NPI:1740033109
Name:GENTLE TOUCH WELLNESS HOMECARE LLC
Entity type:Organization
Organization Name:GENTLE TOUCH WELLNESS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TEALISHA
Authorized Official - Middle Name:Q
Authorized Official - Last Name:DOTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-965-0541
Mailing Address - Street 1:4000 SPRING GARDEN ST STE G
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1601
Mailing Address - Country:US
Mailing Address - Phone:336-355-6752
Mailing Address - Fax:336-217-8373
Practice Address - Street 1:4000 SPRING GARDEN ST STE G
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1601
Practice Address - Country:US
Practice Address - Phone:336-355-6752
Practice Address - Fax:336-217-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care