Provider Demographics
NPI:1659113959
Name:GIFTED HARTS HOMECARE LLC
Entity type:Organization
Organization Name:GIFTED HARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TIMOTHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:313-333-6895
Mailing Address - Street 1:9300 NORTHLAWN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48204-2739
Mailing Address - Country:US
Mailing Address - Phone:313-333-6895
Mailing Address - Fax:
Practice Address - Street 1:9300 NORTHLAWN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48204-2739
Practice Address - Country:US
Practice Address - Phone:313-333-6895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No177F00000XOther Service ProvidersLodging
No251G00000XAgenciesHospice Care, Community Based