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General NPI Number Information
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NPI Number | 1598140758
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Entity Type | Organization
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Legal Business Name | GENTLE HANDS HOME CARE, LLC
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Dates
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Enumeration Date | 07/29/2015
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Last Update Date | 08/06/2024
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Provider Practice Location Address
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Address Line | 6439 PLYMOUTH AVE STE 127
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City | SAINT LOUIS
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State | MO
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Zip | 63133-1940
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Country | US
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Telephone | 636-465-3004
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Fax | 314-833-3170
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Provider Business Mailing Address
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Address Line | 6439 PLYMOUTH AVE STE 127
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City | SAINT LOUIS
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State | MO
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Zip | 63133-1940
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Country | US
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Telephone | 636-465-3004
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Fax | 314-833-3170
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHAUNICE NICOLE SHELTON
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Credential | BSN, RN
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Telephone | 636-465-3004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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