Provider Demographics
NPI:1760077366
Name:AUTHENTIC HANDS HOME CARE, LLC
Entity Type:Organization
Organization Name:AUTHENTIC HANDS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NKEMNKIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-719-2771
Mailing Address - Street 1:439 STAPLEFORD LN
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-1883
Mailing Address - Country:US
Mailing Address - Phone:248-719-2771
Mailing Address - Fax:
Practice Address - Street 1:439 STAPLEFORD LN
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-1883
Practice Address - Country:US
Practice Address - Phone:248-719-2771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care