MEDICARE: GENTLE HANDS HOME HEALTH AGENCY INC

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	:	1063157667
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HANDS HOME HEALTH AGENCY INC

Provider Business Mailing Address
First Line	:	813 W WHITTIER BLVD STE 206
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-4768
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	813 W WHITTIER BLVD STE 206
Second Line	:
City	:	MONTEBELLO
State	:	CA
Zip	:	90640-4768
Country	:	US
Telephone Number	:	818-300-8047
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARMAN MATSAKOVICH ADIKYAN
Credential	:
Telephone Number	:	818-300-8047

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	04/10/2026

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Directions to “GENTLE HANDS HOME HEALTH AGENCY INC ” Practice Location

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