Provider Demographics
NPI:1164247821
Name:GENTLE HANDS WITH LOVING HEARTS LLC
Entity type:Organization
Organization Name:GENTLE HANDS WITH LOVING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-767-7410
Mailing Address - Street 1:324 BAYBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-8418
Mailing Address - Country:US
Mailing Address - Phone:803-767-7410
Mailing Address - Fax:
Practice Address - Street 1:704 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:CALHOUN FALLS
Practice Address - State:SC
Practice Address - Zip Code:29628-1034
Practice Address - Country:US
Practice Address - Phone:864-418-9277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility