Healthcare Provider Details

I. General information

NPI: 1396082020
Provider Name (Legal Business Name): GENTLE PERSONAL CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 01/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 BAY 29TH ST 2A
BROOKLYN NY
11214-4013
US

IV. Provider business mailing address

15 BAY 29 STREET, 2A
BROOKLYN NY
11214
US

V. Phone/Fax

Practice location:
  • Phone: 718-266-7700
  • Fax: 718-266-7100
Mailing address:
  • Phone: 718-266-7700
  • Fax: 718-266-7100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. ZHANNA GRIGORYAN
Title or Position: PRESIDENT
Credential: MRS
Phone: 718-266-7700