MEDICARE: GENTLE HANDS& WARM HEARTS 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	:	1871445437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HANDS& WARM HEARTS LLC

Provider Business Mailing Address
First Line	:	819 TIMBERLAIN DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-4128
Country	:	US
Telephone Number	:	769-208-4043
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 TIMBERLAIN DR
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39211-4128
Country	:	US
Telephone Number	:	769-208-4043
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIAMONIQUE JOHNSON
Credential	:
Telephone Number	:	769-208-4043

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “GENTLE HANDS& WARM HEARTS LLC ” Practice Location

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