Provider Demographics
NPI:1356119002
Name:GIFTED HANDS HOME CARE AGENCY
Entity type:Organization
Organization Name:GIFTED HANDS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:SWIFT
Authorized Official - Suffix:
Authorized Official - Credentials:MA,NA, PLT
Authorized Official - Phone:336-898-3451
Mailing Address - Street 1:1306 W WENDOVER AVE STE 101A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-8192
Mailing Address - Country:US
Mailing Address - Phone:743-249-6115
Mailing Address - Fax:
Practice Address - Street 1:1306 W WENDOVER AVE STE 101A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-8192
Practice Address - Country:US
Practice Address - Phone:743-249-6115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care