Provider Demographics
NPI:1891331120
Name:GIFTED HANDS HOME CARE
Entity Type:Organization
Organization Name:GIFTED HANDS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MBATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-690-2646
Mailing Address - Street 1:1853 WILLIAM PENN WAY STE 13
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6713
Mailing Address - Country:US
Mailing Address - Phone:717-690-2646
Mailing Address - Fax:717-945-7600
Practice Address - Street 1:1853 WILLIAM PENN WAY STE 13
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6713
Practice Address - Country:US
Practice Address - Phone:717-690-2646
Practice Address - Fax:717-945-7600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA45313601OtherPENNSYVANIA DEPARTMENT OF HEALTH