MEDICARE: GENTLE HANDS 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	:	1639544612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HANDS AGENCY INC.

Provider Business Mailing Address
First Line	:	1441 BROADWAY
Second Line	:	SUITE 5043
City	:	NEW YORK
State	:	NY
Zip	:	10018-1905
Country	:	US
Telephone Number	:	646-569-5786
Fax Number	:	888-779-9982

Provider Business Practice Location Address
First Line	:	1441 BROADWAY
Second Line	:	SUITE 5043
City	:	NEW YORK
State	:	NY
Zip	:	10018-1905
Country	:	US
Telephone Number	:	646-569-5786
Fax Number	:	888-779-9982

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MRS. CATHERINE WILLIAMS
Credential	:
Telephone Number	:	346-569-5786

Provider Enumeration Date	:	12/02/2015
Last Update Date	:	04/10/2017

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