MEDICARE: GENTLE CARE HOME HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1003696691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE CARE HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	10917 GOSSAMER LN
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-6106
Country	:	US
Telephone Number	:	317-701-5831
Fax Number	:

Provider Business Practice Location Address
First Line	:	10917 GOSSAMER LN
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-6106
Country	:	US
Telephone Number	:	317-701-5831
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAEKAR TEAH
Credential	:
Telephone Number	:	317-701-5831

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	07/29/2025

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