Healthcare Provider Details

I. General information

NPI: 1609705938
Provider Name (Legal Business Name): GENTLE HANDS HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 N RIDGELAND RD
WALLINGFORD CT
06492-2926
US

IV. Provider business mailing address

64 N RIDGELAND RD
WALLINGFORD CT
06492-2926
US

V. Phone/Fax

Practice location:
  • Phone: 475-347-7317
  • Fax:
Mailing address:
  • Phone: 475-347-7317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE BISHOP
Title or Position: MANAGER
Credential:
Phone: 203-694-2006