Healthcare Provider Details

I. General information

NPI: 1093643231
Provider Name (Legal Business Name): GENUINE GENTLE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12930 E MANSFIELD AVE APT EE101
SPOKANE VALLEY WA
99216-5172
US

IV. Provider business mailing address

12930 E MANSFIELD AVE APT EE101
SPOKANE VALLEY WA
99216-5172
US

V. Phone/Fax

Practice location:
  • Phone: 480-698-7014
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMIEE BOOHER
Title or Position: OFFICER
Credential: HCA,NAR
Phone: 480-698-7014