Provider Demographics
NPI:1396082020
Name:GENTLE PERSONAL CARE INC
Entity type:Organization
Organization Name:GENTLE PERSONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MRS
Authorized Official - Phone:718-266-7700
Mailing Address - Street 1:15 BAY 29 STREET,
Mailing Address - Street 2:2A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-266-7700
Mailing Address - Fax:718-266-7100
Practice Address - Street 1:15 BAY 29TH ST
Practice Address - Street 2:2A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4013
Practice Address - Country:US
Practice Address - Phone:718-266-7700
Practice Address - Fax:718-266-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-15
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care