Provider Demographics
NPI:1306476122
Name:GENTLE CARE CONSULTANTS
Entity type:Organization
Organization Name:GENTLE CARE CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KUHNS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FPA, CCNS
Authorized Official - Phone:217-722-1896
Mailing Address - Street 1:602 W FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-2334
Mailing Address - Country:US
Mailing Address - Phone:217-722-1896
Mailing Address - Fax:833-933-0632
Practice Address - Street 1:602 W FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-2334
Practice Address - Country:US
Practice Address - Phone:217-722-1896
Practice Address - Fax:833-933-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGroup - Multi-Specialty