Provider Demographics
NPI:1003770025
Name:JOHNSON'S GENTLE CARE HOMES LLC
Entity type:Organization
Organization Name:JOHNSON'S GENTLE CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRISHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-404-7004
Mailing Address - Street 1:410 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:GLENN HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:75154-7976
Mailing Address - Country:US
Mailing Address - Phone:817-404-7004
Mailing Address - Fax:214-291-5847
Practice Address - Street 1:410 LAUREL LN
Practice Address - Street 2:
Practice Address - City:GLENN HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:75154-7976
Practice Address - Country:US
Practice Address - Phone:817-404-7004
Practice Address - Fax:214-291-5847
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JOHNSON'S GENTLE CARE HOMES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-13
Last Update Date:2025-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management