Provider Demographics
NPI:1609498963
Name:IN GOOD HANDS CARE
Entity Type:Organization
Organization Name:IN GOOD HANDS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHANIECE
Authorized Official - Middle Name:
Authorized Official - Last Name:FARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-294-9131
Mailing Address - Street 1:21091 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44119-1825
Mailing Address - Country:US
Mailing Address - Phone:216-294-9131
Mailing Address - Fax:
Practice Address - Street 1:21091 CAROL DR
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-1825
Practice Address - Country:US
Practice Address - Phone:216-294-9131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-09
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1609498963Medicaid
OH1609498963OtherPRIVATE/OTHER