# 1ST GENTLECARE HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GentleCare Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285729376
- **Authorized official:** EMILIA MBANWITE (ADMINISTRATOR)
- **Authorized official phone:** (469) 636-4483

## Contact information

- **Practice address:** 1901 CENTRAL DR STE 300, BEDFORD, TX 76021-5825
- **Practice address phone:** (214) 905-1414
- **Practice address fax:** (214) 905-3441
- **Mailing address:** 1901 CENTRAL DR STE 300, BEDFORD, TX 76021-5825
- **Mailing address phone:** (214) 905-1414
- **Mailing address fax:** (214) 905-3441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 010077 | TX | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 12/06/2022
