MEDICARE: GENTLE TOUCH HOME HEALTH 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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1659509263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE TOUCH HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	31201 CHICAGO RD S STE A202
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-5527
Country	:	US
Telephone Number	:	586-838-5983
Fax Number	:	586-838-5982

Provider Business Practice Location Address
First Line	:	31201 CHICAGO RD S STE A202
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48093-5527
Country	:	US
Telephone Number	:	586-838-5983
Fax Number	:	586-838-5982

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RYAN MONZON
Credential	:
Telephone Number	:	586-838-5983

Provider Enumeration Date	:	06/23/2009
Last Update Date	:	04/02/2020

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