MEDICARE: GENTLE CARE HOSPICE & HOMEHEALTH LLC

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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1831894922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENTLE CARE HOSPICE & HOMEHEALTH LLC

Provider Business Mailing Address
First Line	:	2055 BEDFORD AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93611-8117
Country	:	US
Telephone Number	:	559-355-8956
Fax Number	:

Provider Business Practice Location Address
First Line	:	8689 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5870
Country	:	US
Telephone Number	:	702-462-5181
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MRS. CITADEL CHAVEZ
Credential	:	RN
Telephone Number	:	559-355-8956

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	03/30/2023

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