MEDICARE: GENTLE HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003454729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	2700 E DUBLIN GRANVILLE RD # 560
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4094
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E DUBLIN GRANVILLE RD STE 560
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4094
Country	:	US
Telephone Number	:	614-432-3462
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ABDIFATAH OMAR
Credential	:
Telephone Number	:	614-432-3462

Provider Enumeration Date	:	12/12/2019
Last Update Date	:	05/06/2021

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Directions to “GENTLE HOME HEALTH CARE LLC ” Practice Location

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