Provider Demographics
NPI:1295105542
Name:GRACEFUL HANDS, INC.
Entity type:Organization
Organization Name:GRACEFUL HANDS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HELMBOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-573-9440
Mailing Address - Street 1:868 GRACE DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-5297
Mailing Address - Country:US
Mailing Address - Phone:317-573-9440
Mailing Address - Fax:317-573-9446
Practice Address - Street 1:868 GRACE DR
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5297
Practice Address - Country:US
Practice Address - Phone:317-573-9440
Practice Address - Fax:317-573-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN15-012114-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201121850 AOtherLEGACY PROVIDER IDENTIFIER