Provider Demographics
NPI:1265966071
Name:GIFTED HANDS HOME CARE SERVICES, LLC
Entity type:Organization
Organization Name:GIFTED HANDS HOME CARE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-301-0481
Mailing Address - Street 1:157 HINES CIR
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30220-2361
Mailing Address - Country:US
Mailing Address - Phone:770-301-0481
Mailing Address - Fax:866-407-7862
Practice Address - Street 1:157 HINES CIR
Practice Address - Street 2:
Practice Address - City:GRANTVILLE
Practice Address - State:GA
Practice Address - Zip Code:30220-2361
Practice Address - Country:US
Practice Address - Phone:770-301-0481
Practice Address - Fax:866-407-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health