Healthcare Provider Details

I. General information

NPI: 1013429984
Provider Name (Legal Business Name): GENTLE TOUCH HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 11/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18236 RIDGEWOOD
LANSING IL
60438
US

IV. Provider business mailing address

18236 RIDGEWOOD
LANSING IL
60438
US

V. Phone/Fax

Practice location:
  • Phone: 708-743-7831
  • Fax: 844-270-5696
Mailing address:
  • Phone: 708-743-7831
  • Fax: 844-270-5696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROCHELLE BROWN
Title or Position: OWNER
Credential:
Phone: 708-743-7831