MEDICARE: GENTLE TOUCH HOME HEALTH SERVICES

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	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659961779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE TOUCH HOME HEALTH SERVICES

Provider Business Mailing Address
First Line	:	4126 E 110TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-5325
Country	:	US
Telephone Number	:	216-203-6053
Fax Number	:

Provider Business Practice Location Address
First Line	:	4126 E 110TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44105-5325
Country	:	US
Telephone Number	:	216-203-6053
Fax Number	:

Authorized Official
Title or Position	:	STNA,HOME CARE SERVICES
Name	:	MS. TAWANDA SHERRECE JOLLY
Credential	:	INDEPENDANT PROVIDER
Telephone Number	:	216-203-6053

Provider Enumeration Date	:	01/22/2021
Last Update Date	:	01/22/2021

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Directions to “GENTLE TOUCH HOME HEALTH SERVICES ” Practice Location

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