Provider Demographics
NPI:1326646134
Name:GIFTED HANDS CAREGIVER
Entity Type:Organization
Organization Name:GIFTED HANDS CAREGIVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWANA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:337-693-7933
Mailing Address - Street 1:213 GRIMSBY ST.
Mailing Address - Street 2:
Mailing Address - City:FAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70501
Mailing Address - Country:US
Mailing Address - Phone:337-693-7933
Mailing Address - Fax:
Practice Address - Street 1:213 GRIMSBY ST.
Practice Address - Street 2:
Practice Address - City:FAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70501
Practice Address - Country:US
Practice Address - Phone:337-693-7933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIFTED HANDS CAREGIVER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty