Provider Demographics
NPI:1558194316
Name:KEVIN'S GIFTED HANDS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:KEVIN'S GIFTED HANDS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINOSN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-473-4371
Mailing Address - Street 1:1439 W 28TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46208-5259
Mailing Address - Country:US
Mailing Address - Phone:317-473-4371
Mailing Address - Fax:317-426-5594
Practice Address - Street 1:1439 W 28TH ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-5259
Practice Address - Country:US
Practice Address - Phone:317-473-4371
Practice Address - Fax:317-426-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care