Provider Demographics
NPI:1780265157
Name:GENTLE CARE & COMFORT LLC
Entity type:Organization
Organization Name:GENTLE CARE & COMFORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-275-7878
Mailing Address - Street 1:570 FOX HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7180
Mailing Address - Country:US
Mailing Address - Phone:810-275-7878
Mailing Address - Fax:
Practice Address - Street 1:2601 READ ST # I-4
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-7861
Practice Address - Country:US
Practice Address - Phone:810-275-7878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-17
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care