MEDICARE: GENTLE HANDS HOME CARE 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	:	1437915485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HANDS HOME CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	7351 KIPLING ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48206-2624
Country	:	US
Telephone Number	:	313-433-5737
Fax Number	:	313-656-4665

Provider Business Practice Location Address
First Line	:	21999 FARMINGTON RD STE J
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48336-4400
Country	:	US
Telephone Number	:	866-747-9550
Fax Number	:	313-656-4665

Authorized Official
Title or Position	:	CEO
Name	:	DANA MARIE MAXWELL
Credential	:
Telephone Number	:	313-433-5737

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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Directions to “GENTLE HANDS HOME CARE SERVICES LLC ” Practice Location

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