Healthcare Provider Details

I. General information

NPI: 1538864889
Provider Name (Legal Business Name): GENTLE STEPS HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 04/04/2023
Certification Date: 04/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2008 FREENEY AVE APT 300
SUFFOLK VA
23434-3259
US

IV. Provider business mailing address

2008 FREENEY AVE APT 300
SUFFOLK VA
23434-3259
US

V. Phone/Fax

Practice location:
  • Phone: 757-977-7722
  • Fax:
Mailing address:
  • Phone: 757-977-7722
  • 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 Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. SADE L BRIMAGE
Title or Position: CEO
Credential:
Phone: 757-977-7722