Provider Demographics
NPI:1861005076
Name:GIFTED HANDS HEALTHCARE ACADEMY LLC
Entity Type:Organization
Organization Name:GIFTED HANDS HEALTHCARE ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER/INSTRUCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:RANITA
Authorized Official - Last Name:EDWARDS-COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-260-3444
Mailing Address - Street 1:732 QUILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1956
Mailing Address - Country:US
Mailing Address - Phone:216-260-3444
Mailing Address - Fax:
Practice Address - Street 1:17325 EUCLID AVE STE 3022
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-1255
Practice Address - Country:US
Practice Address - Phone:216-260-3444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-26
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health