MEDICARE: GENTLE CARING HANDS, INC.

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	:	1528525904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE CARING HANDS, INC.

Provider Business Mailing Address
First Line	:	14545 FRIAR ST STE 107
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2357
Country	:	US
Telephone Number	:	747-276-0061
Fax Number	:

Provider Business Practice Location Address
First Line	:	14545 FRIAR ST STE 107
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2357
Country	:	US
Telephone Number	:	747-276-0061
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	DAVID MARITROSYAN
Credential	:
Telephone Number	:	747-276-0061

Provider Enumeration Date	:	02/21/2019
Last Update Date	:	02/21/2019

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Directions to “GENTLE CARING HANDS, INC. ” Practice Location

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