| Organization Name: | GENTLE CARE PERSONAL SERVICES LLC |
| NPI Number: | 1114279676 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WONYIAH S DEKARKEH (PRESIDENT/CEO) |
| Mailing Address: | 650 Dale Schrier Dr Suite 6505 Brownsburg |
| State: | IN US |
| Postal Code: | 461122501 |
| Phone Number: | 3174764639 |
| Fax Number: | |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 10/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 12-012895-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |