=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659509263
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENTLE TOUCH HOME HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2009
-----------------------------------------------------
Last Update Date | 04/02/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 31201 CHICAGO RD S STE A202
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48093-5527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-838-5983
-----------------------------------------------------
Fax | 586-838-5982
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 31201 CHICAGO RD S STE A202
-----------------------------------------------------
City | WARREN
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48093-5527
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-838-5983
-----------------------------------------------------
Fax | 586-838-5982
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. RYAN MONZON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 586-838-5983
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------