Healthcare Provider Details

I. General information

NPI: 1093537029
Provider Name (Legal Business Name): GENTLE OPTIONS QUALITY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5042 GERMANTOWN AVE FL 1
PHILADELPHIA PA
19144-5948
US

IV. Provider business mailing address

134 COUNTRY CLUB DR
LANSDALE PA
19446-1456
US

V. Phone/Fax

Practice location:
  • Phone: 267-209-2019
  • Fax:
Mailing address:
  • Phone: 215-620-1804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NATASHA WATSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 267-209-2019