Active NPI
Gentle Touch Home Health Services
- Nurse's Aide
- Cleveland, OH
National Provider Identifier
1659961779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- GENTLE TOUCH HOME HEALTH SERVICES
- Practice address
- 4126 E 110TH St
Cleveland, OH 44105-5325 - Phone
- (216) 203-6053
- NPI assigned
- Jan 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Tawanda Sherrece Jolly, INDEPENDANT PROVIDER
- Title
- Stna,Home Care Services
- Phone
- (216) 203-6053
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | |||
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
4126 E 110TH St
Cleveland, OH 44105-5325
Mailing address
4126 E 110TH St
Cleveland, OH 44105-5325
Phone (216) 203-6053
Other practice location 1
1111 W 10th St
Cleveland, OH 44113-4481
Phone (216) 400-6469 ext. 213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0295563 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | surehousepastor@yahoo.com |
National Provider Directory
National Provider DirectoryLocations
1111 W 10th St
Cleveland, OH 44113
Phone 2164006469 ext. 213
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Cleveland, OH
- NPI 1366044208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611273600000",
"number": "1659961779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 E 110TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441055325",
"telephone_number": "216-203-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 E 110TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441055325",
"telephone_number": "216-203-6053"
}
],
"practiceLocations": [
{
"address_1": "1111 W 10th St",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441134481",
"country_code": "US",
"telephone_number": "216-400-6469 x213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GENTLE TOUCH HOME HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-22",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "JOLLY",
"authorized_official_first_name": "TAWANDA",
"authorized_official_middle_name": "SHERRECE",
"authorized_official_title_or_position": "STNA,HOME CARE SERVICES",
"authorized_official_telephone_number": "216-203-6053",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "INDEPENDANT PROVIDER"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0295563",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "surehousepastor@yahoo.com",
"affiliation": "N",
"address_1": "1111 W 10th St",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441134481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.