Provider Demographics
NPI:1174867790
Name:GIFTED HANDS HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:GIFTED HANDS HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:CHUKWUNEKE
Authorized Official - Last Name:UBAGHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-401-6666
Mailing Address - Street 1:21209 SOPHIA DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1860
Mailing Address - Country:US
Mailing Address - Phone:708-262-2483
Mailing Address - Fax:
Practice Address - Street 1:21209 SOPHIA DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1860
Practice Address - Country:US
Practice Address - Phone:815-401-6666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care