Provider Demographics
NPI:1821895319
Name:GENTLE HOME CARE LTD
Entity type:Organization
Organization Name:GENTLE HOME CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:TULLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-975-2933
Mailing Address - Street 1:1510 E 55TH ST UNIT 15234
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2591
Mailing Address - Country:US
Mailing Address - Phone:312-975-2933
Mailing Address - Fax:
Practice Address - Street 1:74 E 71ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-1030
Practice Address - Country:US
Practice Address - Phone:312-975-2933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253Z00000XAgenciesIn Home Supportive Care
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No344600000XTransportation ServicesTaxi