Gentle Hands Home Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GENTLE HANDS HOME CARE, LLC

Practice address

6439 Plymouth Ave Ste 127
Saint Louis, MO 63133-1940

Phone

(636) 465-3004

Fax

(314) 833-3170

NPI assigned

Jul 29, 2015

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shaunice Nicole Shelton, BSN, RN

Title

Owner

Phone

(636) 465-3004

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1598140758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 PLYMOUTH AVE STE 127",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331940",
            "telephone_number": "636-465-3004",
            "fax_number": "314-833-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6439 PLYMOUTH AVE STE 127",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331940",
            "telephone_number": "636-465-3004",
            "fax_number": "314-833-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10701 E Winner Rd # 220A",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640523759",
            "country_code": "US",
            "telephone_number": "636-465-3004",
            "fax_number": "314-833-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENTLE HANDS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "SHAUNICE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-465-3004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598140758",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gentlecare Home Health CDS Service LLC
• Mason Edward Gentner, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.