Healthcare Provider Details

I. General information

NPI: 1497666804
Provider Name (Legal Business Name): GENTLEHEARTS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 AIRWAY CIR APT 1A
TOWSON MD
21286-4412
US

IV. Provider business mailing address

12 AIRWAY CIR APT 1A
TOWSON MD
21286-4412
US

V. Phone/Fax

Practice location:
  • Phone: 267-881-9754
  • Fax:
Mailing address:
  • Phone: 267-881-9754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: JULIE N OGBONNA
Title or Position: CEO
Credential: CNA1,CMT
Phone: 267-881-9754