Provider Demographics
NPI:1023576980
Name:GENTLE HANDS HOME HEALTH CARE
Entity type:Organization
Organization Name:GENTLE HANDS HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKLEN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:912-409-0333
Mailing Address - Street 1:10 BURNT TREE CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2412
Mailing Address - Country:US
Mailing Address - Phone:912-409-0333
Mailing Address - Fax:
Practice Address - Street 1:10 BURNT TREE CIR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-2412
Practice Address - Country:US
Practice Address - Phone:912-409-0333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty