Healthcare Provider Details

I. General information

NPI: 1730587726
Provider Name (Legal Business Name): GENTLER CARE NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2014
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 W MCNAB RD STE 120
TAMARAC FL
33321-5329
US

IV. Provider business mailing address

7300 W MCNAB RD STE 120
TAMARAC FL
33321-5329
US

V. Phone/Fax

Practice location:
  • Phone: 954-642-7237
  • Fax: 954-642-7239
Mailing address:
  • Phone: 954-642-7237
  • Fax: 954-642-7239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberNR30211459
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberNR30211459
License Number StateFL

VIII. Authorized Official

Name: JANET SHIELDS
Title or Position: ADMINISTRATOR
Credential:
Phone: 954-642-7237