Healthcare Provider Details

I. General information

NPI: 1003733098
Provider Name (Legal Business Name): GENTLEBROOK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 SUNNYSIDE ST SW
HARTVILLE OH
44632-9087
US

IV. Provider business mailing address

880 SUNNYSIDE ST SW
HARTVILLE OH
44632-9087
US

V. Phone/Fax

Practice location:
  • Phone: 330-877-7700
  • Fax: 330-877-7701
Mailing address:
  • Phone: 330-877-7700
  • Fax: 330-877-7701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: LISA ACKERMAN
Title or Position: HUMAN RESOURCES MANAGER
Credential:
Phone: 330-877-7700