Provider Demographics
NPI:1801404280
Name:GIFTED HANDS HOMECARE LLC
Entity Type:Organization
Organization Name:GIFTED HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBOCHI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-319-7973
Mailing Address - Street 1:300 BRICKSTONE SQ STE 266
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1492
Mailing Address - Country:US
Mailing Address - Phone:978-319-7973
Mailing Address - Fax:
Practice Address - Street 1:300 BRICKSTONE SQ STE 266
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1492
Practice Address - Country:US
Practice Address - Phone:978-319-7973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency