Provider Demographics
NPI:1588433775
Name:GENTLE HEARTS CAREGIVER AGENCY INC.
Entity type:Organization
Organization Name:GENTLE HEARTS CAREGIVER AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:I
Authorized Official - Last Name:KAMATOY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:702-586-0785
Mailing Address - Street 1:77 PINE BAY CT.
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-586-0785
Mailing Address - Fax:702-586-0190
Practice Address - Street 1:3017W CHARLESTOWN BLVD
Practice Address - Street 2:SUITE 51
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-586-0785
Practice Address - Fax:702-586-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty