Provider Demographics
NPI:1497058218
Name:AWESOME HANDS HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:AWESOME HANDS HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:BOYERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:941-747-0999
Mailing Address - Street 1:703 60TH STREET CT E STE A
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-6266
Mailing Address - Country:US
Mailing Address - Phone:941-747-0999
Mailing Address - Fax:941-747-7839
Practice Address - Street 1:703 60TH STREET CT E STE A
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-6266
Practice Address - Country:US
Practice Address - Phone:941-747-0999
Practice Address - Fax:941-747-7839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299994074251E00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
299994074OtherHOME HEALTH AGENCY