Provider Demographics
NPI:1124518832
Name:GENTLE LOVING HOME CARE LLC
Entity type:Organization
Organization Name:GENTLE LOVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOITEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-348-5706
Mailing Address - Street 1:PO BOX 934900
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33093-4900
Mailing Address - Country:US
Mailing Address - Phone:954-909-4527
Mailing Address - Fax:
Practice Address - Street 1:8461 LAKE WORTH RD STE 249
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-847-2874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GENTLE LOVING HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-17
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211972251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health