Provider Demographics
NPI:1053102376
Name:JOLLY HANDS HOME CARE LLC
Entity type:Organization
Organization Name:JOLLY HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MISHEIKA
Authorized Official - Middle Name:YANIQUE
Authorized Official - Last Name:GAYNOR-ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-558-5467
Mailing Address - Street 1:611 N COURTHOUSE RD STE 200J
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-4064
Mailing Address - Country:US
Mailing Address - Phone:804-578-5114
Mailing Address - Fax:804-234-3556
Practice Address - Street 1:611 N COURTHOUSE RD STE 200J
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-4064
Practice Address - Country:US
Practice Address - Phone:804-578-5114
Practice Address - Fax:804-234-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty