Healthcare Provider Details

I. General information

NPI: 1992073688
Provider Name (Legal Business Name): GENTLE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 12/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5505 FISHER DR
HUBER HEIGHTS OH
45424-5527
US

IV. Provider business mailing address

5505 FISHER DR
HUBER HEIGHTS OH
45424-5527
US

V. Phone/Fax

Practice location:
  • Phone: 614-598-0400
  • Fax:
Mailing address:
  • Phone: 614-598-0400
  • 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 Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ARIANE N WRIGHT
Title or Position: CNA
Credential:
Phone: 614-598-0400