=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780553370
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GENTLE TOUCH HOME CARE AGENCY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/01/2025
-----------------------------------------------------
Last Update Date | 11/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9071 BAY HARBOUR CIR
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33411-5151
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-217-3744
-----------------------------------------------------
Fax | 929-294-9103
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9071 BAY HARBOUR CIR
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33411-5151
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-217-3744
-----------------------------------------------------
Fax | 929-294-9103
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | KEISHA BRYANT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 718-217-3744
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------