Gentle Care Provider LLG

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GENTLE CARE PROVIDER LLG

Practice address

917 Pint Cir
Longs, SC 29568-7416

Phone

(843) 360-1655

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 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

Vickie Diane Wilson

Title

Owner

Phone

(843) 503-5152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1982411484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4403",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295974403",
            "telephone_number": "843-360-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 PINT CIR",
            "city": "LONGS",
            "state": "SC",
            "postal_code": "295687416",
            "telephone_number": "843-360-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE PROVIDER LLG",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-503-5152"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Longs, SC
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• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.