Provider Demographics
NPI:1598638660
Name:OUR GIFT TO YOU
Entity type:Organization
Organization Name:OUR GIFT TO YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEENE
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:470-507-4166
Mailing Address - Street 1:130 PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:GA
Mailing Address - Zip Code:30248-7206
Mailing Address - Country:US
Mailing Address - Phone:470-507-4166
Mailing Address - Fax:
Practice Address - Street 1:130 PALMETTO ST
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:GA
Practice Address - Zip Code:30248-7206
Practice Address - Country:US
Practice Address - Phone:470-507-4166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUR GIFT TO YOU
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care