Provider Demographics
NPI:1518553668
Name:GIFTED HANDS & CARING HEARTS
Entity Type:Organization
Organization Name:GIFTED HANDS & CARING HEARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:SELVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-333-3983
Mailing Address - Street 1:PO BOX 9321
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-9321
Mailing Address - Country:US
Mailing Address - Phone:870-333-3983
Mailing Address - Fax:
Practice Address - Street 1:636 W CHERRY AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3919
Practice Address - Country:US
Practice Address - Phone:870-333-3983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health