=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699943829
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENTLE TOUCH HOMECARE & SITTER SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/11/2008
-----------------------------------------------------
Last Update Date | 02/11/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 HOLMES DR
-----------------------------------------------------
City | SLIDELL
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70460-8402
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-939-9078
-----------------------------------------------------
Fax | 985-641-9307
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3102
-----------------------------------------------------
City | SLIDELL
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70459-3102
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 504-939-9078
-----------------------------------------------------
Fax | 985-641-9307
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS OFFICE MANAGER
-----------------------------------------------------
Name | MRS. NIATYASHA L HARRIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 504-939-9078
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------