Healthcare Provider Details

I. General information

NPI: 1427979863
Provider Name (Legal Business Name): A GENTLE APPROACH HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 EDEN PARK BLVD
SHILOH IL
62269-2996
US

IV. Provider business mailing address

104 EDEN PARK BLVD
SHILOH IL
62269-2996
US

V. Phone/Fax

Practice location:
  • Phone: 618-900-3373
  • Fax:
Mailing address:
  • Phone: 618-900-3373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name: TANCHENA GREGORY
Title or Position: OWNER
Credential:
Phone: 618-900-3373