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NPI Code Detail

MEDICARE: GENTLE HEARTS HOME CARE, INC

MEDICARE: GENTLE HEARTS HOME CARE, 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
1163WH0200XHome Health Registered Nurse

General Provider Information

NPI Number : 1639235872
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENTLE HEARTS HOME CARE, INC
Provider Business Mailing Address
First Line : 6047 TYVOLA GLEN CIR # 101
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-6431
Country : US
Telephone Number : 704-414-6598
Fax Number : 704-599-9089
Provider Business Practice Location Address
First Line : 6047 TYVOLA GLEN CIR # 101
Second Line :
City : CHARLOTTE
State : NC
Zip : 28217-6431
Country : US
Telephone Number : 704-414-6598
Fax Number : 704-599-9089
Authorized Official
Title or Position : AGENCY SUPERVISOR
Name : STEPHANIE BRATHWAITE
Credential :
Telephone Number : 704-414-6598
Provider Enumeration Date : 12/30/2006
Last Update Date : 08/22/2020

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Directions to “GENTLE HEARTS HOME CARE, INC ” Practice Location

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