Provider Demographics
NPI:1821985185
Name:ANNIE GENTLE HANDS HOME CARE
Entity type:Organization
Organization Name:ANNIE GENTLE HANDS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-273-5565
Mailing Address - Street 1:200 FOX HOLLOW DR APT 307
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-6100
Mailing Address - Country:US
Mailing Address - Phone:440-273-5565
Mailing Address - Fax:
Practice Address - Street 1:200 FOX HOLLOW DR APT 307
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-6100
Practice Address - Country:US
Practice Address - Phone:440-273-5565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care