Provider Demographics
NPI:1154585602
Name:GENTLE HEARTS CARE
Entity type:Organization
Organization Name:GENTLE HEARTS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIKINA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-371-3088
Mailing Address - Street 1:10151 DEERWOOD PARK BLVD
Mailing Address - Street 2:BLDG 200 STE 250
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0566
Mailing Address - Country:US
Mailing Address - Phone:904-371-3088
Mailing Address - Fax:
Practice Address - Street 1:10151 DEERWOOD PARK BLVD
Practice Address - Street 2:BLDG 200 STE 250
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0566
Practice Address - Country:US
Practice Address - Phone:904-371-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health