Basic Information
| Provider Information | |||||||||
| NPI: | 1922247824 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | GENTLECARE HOME HEALTH, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8024 HILLANBY CT | ||||||||
| Address2: | |||||||||
| City: | WAXHAW | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281737699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046513280 | ||||||||
| FaxNumber: | 7042430299 | ||||||||
| Practice Location | |||||||||
| Address1: | 8024 HILLANBY CT | ||||||||
| Address2: | |||||||||
| City: | WAXHAW | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281737699 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046513280 | ||||||||
| FaxNumber: | 7042430299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2009 | ||||||||
| LastUpdateDate: | 02/17/2009 | ||||||||
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| AuthorizedOfficialLastName: | BARBER | ||||||||
| AuthorizedOfficialFirstName: | SHARON | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | RN | ||||||||
| AuthorizedOfficialTelephone: | 7046513280 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | 138078 | NC | Y | Agencies | Home Health |
No ID Information.