Provider Demographics
NPI:1538864889
Name:GENTLE STEPS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:GENTLE STEPS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SADE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRIMAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-977-7722
Mailing Address - Street 1:2008 FREENEY AVE APT 300
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-3259
Mailing Address - Country:US
Mailing Address - Phone:757-977-7722
Mailing Address - Fax:
Practice Address - Street 1:2008 FREENEY AVE APT 300
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-3259
Practice Address - Country:US
Practice Address - Phone:757-977-7722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty