Provider Demographics
NPI:1053730739
Name:GIFTED HANDS HOMECARE LLC
Entity type:Organization
Organization Name:GIFTED HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:W
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-349-8837
Mailing Address - Street 1:1168 LAKEVIEW AVE
Mailing Address - Street 2:SUITE 25
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4744
Mailing Address - Country:US
Mailing Address - Phone:978-349-8837
Mailing Address - Fax:
Practice Address - Street 1:1168 LAKEVIEW AVE
Practice Address - Street 2:SUITE 25
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-4744
Practice Address - Country:US
Practice Address - Phone:978-349-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health