Healthcare Provider Details

I. General information

NPI: 1790490902
Provider Name (Legal Business Name): GENTLE TOUCH PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2023
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 BRITTON WAY
MACON GA
31216-4156
US

IV. Provider business mailing address

625 BRITTON WAY
MACON GA
31216-4156
US

V. Phone/Fax

Practice location:
  • Phone: 478-320-6013
  • Fax:
Mailing address:
  • Phone: 478-320-6013
  • 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: JOYCE BAUTE
Title or Position: PERSONAL CARE ASSISTANT
Credential:
Phone: 478-320-6013