Healthcare Provider Details

I. General information

NPI: 1508463696
Provider Name (Legal Business Name): GIFTED HANDS PERSONALIZED HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2020
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5122 RIME VLG
VESTAVIA HILLS AL
35216-6457
US

IV. Provider business mailing address

5122 RIME VLG
VESTAVIA HILLS AL
35216-6457
US

V. Phone/Fax

Practice location:
  • Phone: 205-902-4686
  • Fax:
Mailing address:
  • Phone: 205-902-4686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. KESHIA RENEE THORNTON
Title or Position: EXECUTIVE ADMINISTRATOR
Credential: LPN, CDP
Phone: 205-902-4686