Healthcare Provider Details

I. General information

NPI: 1346949351
Provider Name (Legal Business Name): GENTLE TOUCH SENIOR HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 ODE MOORE RD
MICHIE TN
38357-5350
US

IV. Provider business mailing address

1640 ODE MOORE RD
MICHIE TN
38357-5350
US

V. Phone/Fax

Practice location:
  • Phone: 731-438-2958
  • Fax:
Mailing address:
  • Phone: 731-438-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA FAYE MOORE
Title or Position: CEO
Credential: OWNER
Phone: 731-438-2958