Provider Demographics
NPI:1881339257
Name:GIFTED HANDS OF CARE
Entity type:Organization
Organization Name:GIFTED HANDS OF CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERYK
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-520-3857
Mailing Address - Street 1:214 S 23RD ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-3131
Mailing Address - Country:US
Mailing Address - Phone:217-330-7566
Mailing Address - Fax:
Practice Address - Street 1:214 S 23RD ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62521-3131
Practice Address - Country:US
Practice Address - Phone:217-330-7566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health