MEDICARE: A GENTLE HEART HOMECARE AGENCY 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1861260762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A GENTLE HEART HOMECARE AGENCY LLC

Provider Business Mailing Address
First Line	:	109 GRIMES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-2015
Country	:	US
Telephone Number	:	412-980-8738
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 GRIMES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15210-2015
Country	:	US
Telephone Number	:	412-980-8738
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	TEYAUTARA DAWSON
Credential	:
Telephone Number	:	412-980-8738

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	12/20/2023

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