Healthcare Provider Details

I. General information

NPI: 1467153452
Provider Name (Legal Business Name): GENTLE PALMZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2023
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3470 MAYFIELD RD SUITE S-11 PMB1003
CLEVELAND HEIGHTS OH
44118-1405
US

IV. Provider business mailing address

3470 MAYFIELD RD
CLEVELAND HEIGHTS OH
44118-1405
US

V. Phone/Fax

Practice location:
  • Phone: 216-550-1126
  • Fax:
Mailing address:
  • Phone: 216-550-1126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: AKEISHA WALLACE
Title or Position: OWNER
Credential:
Phone: 216-550-1126