Healthcare Provider Details

I. General information

NPI: 1295616423
Provider Name (Legal Business Name): GENTLE PATH SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23180 WAINWRIGHT TER
OLMSTED FALLS OH
44138-3208
US

IV. Provider business mailing address

23180 WAINWRIGHT TER
OLMSTED FALLS OH
44138-3208
US

V. Phone/Fax

Practice location:
  • Phone: 614-599-0455
  • Fax:
Mailing address:
  • Phone: 614-599-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SYLVIA WABUSHI
Title or Position: OWNER
Credential: BSN
Phone: 614-599-0455