Healthcare Provider Details

I. General information

NPI: 1841583846
Provider Name (Legal Business Name): GENTLE HANDS HOME HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2011
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 CLAIBORNE SQ E 334
HAMPTON VA
23666-2071
US

IV. Provider business mailing address

4410 CLAIBORNE SQ E 334
HAMPTON VA
23666-2071
US

V. Phone/Fax

Practice location:
  • Phone: 757-241-0341
  • Fax: 866-667-2490
Mailing address:
  • Phone: 757-241-0341
  • Fax: 866-667-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number StateVA

VIII. Authorized Official

Name: MELISSA KAYE ELLIS EL
Title or Position: CEO
Credential: B.A., M.S.
Phone: 757-241-0341