Healthcare Provider Details

I. General information

NPI: 1861926909
Provider Name (Legal Business Name): GOOD HANDS SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2017
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8741 STONE HARBOUR LOOP
BRADENTON FL
34212-6324
US

IV. Provider business mailing address

8741 STONE HARBOUR LOOP
BRADENTON FL
34212-6324
US

V. Phone/Fax

Practice location:
  • Phone: 941-704-2078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number234797
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number234797
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number234797
License Number StateFL

VIII. Authorized Official

Name: DARRYL A MATHIS JR.
Title or Position: OWNER/ ADMINISTRATOR
Credential:
Phone: 941-704-2078