Organization Active NPI

Gentle Care Home Health Services, Inc.

  • Home Health Agency
  • Southgate, MI
National Provider Identifier
1447302195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
237470 Issued in MI
Legal business name
GENTLE CARE HOME HEALTH SERVICES, INC.
Practice address
15305 Dix Toledo Rd
Southgate, MI 48195-2693
Phone
(734) 246-3134
Fax
(734) 246-3641
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mercedes Teodoro, R.N.
Title
Administrator
Phone
(734) 243-3134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 237470 MI Primary

Addresses

Primary practice location

15305 Dix Toledo Rd
Southgate, MI 48195-2693

Mailing address

15305 Dix Toledo Rd
Southgate, MI 48195-2693
Phone (734) 246-3134

Other identifiers 2

IdentifierTypeStateIssuer
4451485MedicaidMI
0E934OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4192 Dix Hwy
Lincoln Park, MI 48146
Phone (313) 908-2957

15305 Dix Toledo Rd
Southgate, MI 48195
Phone (734) 246-3134

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447302195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952693",
            "telephone_number": "734-246-3134",
            "fax_number": "734-246-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 DIX TOLEDO RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952693",
            "telephone_number": "734-246-3134",
            "fax_number": "734-246-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEODORO",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "734-243-3134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "237470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4451485",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E934",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.