Provider Demographics
NPI:1477924926
Name:GOOD HANDS HOME CARE, LLC
Entity Type:Organization
Organization Name:GOOD HANDS HOME CARE, LLC
Other - Org Name:GOOD HANDS HOME CARE, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MENSNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORESTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-800-9696
Mailing Address - Street 1:1080 CYPRESS PKWY
Mailing Address - Street 2:1160
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3328
Mailing Address - Country:US
Mailing Address - Phone:407-800-9696
Mailing Address - Fax:
Practice Address - Street 1:1080 CYPRESS PKWY
Practice Address - Street 2:1160
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3328
Practice Address - Country:US
Practice Address - Phone:407-800-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL234132253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care