Provider Demographics
NPI:1740985936
Name:GIANTS SERVICES SPRL LLC
Entity type:Organization
Organization Name:GIANTS SERVICES SPRL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NDJADI HYAMBE YA SHAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-261-5235
Mailing Address - Street 1:3430 BOLLER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1404
Mailing Address - Country:US
Mailing Address - Phone:347-261-5235
Mailing Address - Fax:
Practice Address - Street 1:3430 BOLLER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1404
Practice Address - Country:US
Practice Address - Phone:347-261-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIANTS SERVICES SPRL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities
No332U00000XSuppliersHome Delivered Meals
No3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport