Provider Demographics
NPI:1366787855
Name:GENTLE TOUCH HOME CARE, LLC
Entity type:Organization
Organization Name:GENTLE TOUCH HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY-BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-582-3808
Mailing Address - Street 1:140 W WASHINGTON ST STE 108
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5254
Mailing Address - Country:US
Mailing Address - Phone:757-934-6717
Mailing Address - Fax:757-934-6718
Practice Address - Street 1:1283 N KING ST STE 6
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23669-2298
Practice Address - Country:US
Practice Address - Phone:757-934-6717
Practice Address - Fax:757-934-6718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA121022251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health