Healthcare Provider Details

I. General information

NPI: 1669251716
Provider Name (Legal Business Name): GIFTED HANDS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5699 E 71ST ST STE 2A
INDIANAPOLIS IN
46220-3950
US

IV. Provider business mailing address

5699 E 71ST ST STE 2A
INDIANAPOLIS IN
46220-3950
US

V. Phone/Fax

Practice location:
  • Phone: 317-361-6988
  • Fax:
Mailing address:
  • Phone: 317-361-6988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA A ANDERSON
Title or Position: CEO
Credential: CCMA
Phone: 317-444-1487