Healthcare Provider Details

I. General information

NPI: 1598529513
Provider Name (Legal Business Name): GENTLE HANDS HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 RALSTON AVE
RAYTOWN MO
64133-5133
US

IV. Provider business mailing address

3418 E 58TH TER
KANSAS CITY MO
64130-4225
US

V. Phone/Fax

Practice location:
  • Phone: 816-890-8907
  • Fax:
Mailing address:
  • Phone: 816-890-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KANEISHA HOLLIS
Title or Position: CEO
Credential: CNA, CMT, CMA
Phone: 816-890-8907