Provider Demographics
NPI:1336812759
Name:GIFTED HAND COMPANIONS, LLC
Entity Type:Organization
Organization Name:GIFTED HAND COMPANIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-712-5457
Mailing Address - Street 1:2120 AITKIN LOOP # 0
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-2962
Mailing Address - Country:US
Mailing Address - Phone:352-801-5682
Mailing Address - Fax:
Practice Address - Street 1:2120 AITKIN LOOP # 0
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-2962
Practice Address - Country:US
Practice Address - Phone:352-801-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL237624OtherHOMEMAKER AND COMPANIONSHIP LICENSE