Healthcare Provider Details

I. General information

NPI: 1700949534
Provider Name (Legal Business Name): GENTLE CARE HOME HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 E JEFFERSON AVE
DETROIT MI
48207-4208
US

IV. Provider business mailing address

100 RIVERFRONT DR APT 1703
DETROIT MI
48226-4539
US

V. Phone/Fax

Practice location:
  • Phone: 313-587-3369
  • Fax:
Mailing address:
  • Phone:
  • 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: GREGORY EVANS
Title or Position: OWNER
Credential:
Phone: 313-587-3369