Provider Demographics
NPI:1467188458
Name:CICI'S LOVING HEART'S & GIFTED HANDS HOME CARE LLC
Entity Type:Organization
Organization Name:CICI'S LOVING HEART'S & GIFTED HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNA/ HOME CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CNA , HHA
Authorized Official - Phone:614-638-9984
Mailing Address - Street 1:1436 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2668
Mailing Address - Country:US
Mailing Address - Phone:614-638-9984
Mailing Address - Fax:
Practice Address - Street 1:1436 JACKSON ST
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2668
Practice Address - Country:US
Practice Address - Phone:614-638-9984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty