Provider Demographics
NPI:1487670501
Name:GIFTED ARMS INC.
Entity Type:Organization
Organization Name:GIFTED ARMS INC.
Other - Org Name:GIFTED ARMS HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:RONQUILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-322-9207
Mailing Address - Street 1:1400 EASTON DR STE 141
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-9404
Mailing Address - Country:US
Mailing Address - Phone:661-322-9207
Mailing Address - Fax:661-322-9208
Practice Address - Street 1:1400 EASTON DR STE 141
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-9404
Practice Address - Country:US
Practice Address - Phone:661-322-9207
Practice Address - Fax:661-322-9208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000057251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08339FMedicaid
CAHHA08339FMedicaid