Healthcare Provider Details

I. General information

NPI: 1750174124
Provider Name (Legal Business Name): GENTLE HEARTS HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MAIN ST
CHERRY VALLEY MA
01611-3143
US

IV. Provider business mailing address

231 MAIN ST
CHERRY VALLEY MA
01611-3143
US

V. Phone/Fax

Practice location:
  • Phone: 817-703-5689
  • Fax:
Mailing address:
  • Phone: 817-703-5689
  • 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: SARAH DARKOMA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LPN
Phone: 817-703-5689