Healthcare Provider Details

I. General information

NPI: 1962219477
Provider Name (Legal Business Name): GENTLE HANDS HOME ASSTISTANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50706 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-1363
US

IV. Provider business mailing address

50706 VAN DYKE AVE
SHELBY TOWNSHIP MI
48317-1363
US

V. Phone/Fax

Practice location:
  • Phone: 248-862-4312
  • Fax: 205-479-4480
Mailing address:
  • Phone: 248-862-4312
  • Fax: 205-479-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RITA ISRAEL
Title or Position: OWNER
Credential:
Phone: 586-488-7086