Healthcare Provider Details

I. General information

NPI: 1407720915
Provider Name (Legal Business Name): GENTLE HORIZON HOME CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 SUMMERVIEW CT APT D
MADISON WI
53704-7700
US

IV. Provider business mailing address

10 SUMMERVIEW CT APT D
MADISON WI
53704-7700
US

V. Phone/Fax

Practice location:
  • Phone: 608-598-8476
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. BUBACARR JB TOURAY
Title or Position: OWNER
Credential:
Phone: 608-598-8476