Provider Demographics
NPI:1912579533
Name:MIGHTY HANDS HOME AND HEALTH CARE LLC
Entity Type:Organization
Organization Name:MIGHTY HANDS HOME AND HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:816-469-1981
Mailing Address - Street 1:3239 GARFIELD AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2009
Mailing Address - Country:US
Mailing Address - Phone:816-469-1981
Mailing Address - Fax:
Practice Address - Street 1:3239 GARFIELD AVE APT 2S
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2009
Practice Address - Country:US
Practice Address - Phone:816-469-1981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty