Gentle Hearts Home Care Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

103078500-001 Issued in PA

Legal business name

GENTLE HEARTS HOME CARE AGENCY, LLC

Practice address

703 Central Ave
Primos, PA 19018-2116

Phone

(610) 626-1893

Fax

(610) 622-2918

NPI assigned

Jul 21, 2017

Last updated

Jul 21, 2022By 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

Louise Green, OWNER

Title

President

Phone

(610) 626-1893

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710400684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 CENTRAL AVE",
            "city": "PRIMOS",
            "state": "PA",
            "postal_code": "190182116",
            "telephone_number": "610-626-1893",
            "fax_number": "610-622-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 CENTRAL AVE",
            "city": "PRIMOS",
            "state": "PA",
            "postal_code": "190182116",
            "telephone_number": "610-626-1893",
            "fax_number": "610-622-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE HEARTS HOME CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-626-1893",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "103078500-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103078500-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Care Home Care Services Inc
• Douglas Mwoi

• In Home Supportive Care Agency in Primos, PA
• Providers in Primos, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.