MEDICARE: GENTLE HANDS 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
1	310400000X	Assisted Living Facility	00081	TX

General Provider Information

NPI Number	:	1669682894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE HANDS HOME CARE, INC.

Provider Business Mailing Address
First Line	:	2327 FOX MEADOW DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1341
Country	:	US
Telephone Number	:	210-523-5409
Fax Number	:	210-523-0112

Provider Business Practice Location Address
First Line	:	1202 DONALDSON AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78228-4214
Country	:	US
Telephone Number	:	210-736-2305
Fax Number	:	210-736-0226

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CAROLINE UZOH
Credential	:	PHARMACIST
Telephone Number	:	210-379-5409

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/07/2008

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