Healthcare Provider Details

I. General information

NPI: 1891331120
Provider Name (Legal Business Name): GIFTED HANDS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1853 WILLIAM PENN WAY STE 13
LANCASTER PA
17601-6713
US

IV. Provider business mailing address

1853 WILLIAM PENN WAY STE 13
LANCASTER PA
17601-6713
US

V. Phone/Fax

Practice location:
  • Phone: 717-690-2646
  • Fax: 717-945-7600
Mailing address:
  • Phone: 717-690-2646
  • Fax: 717-945-7600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MBATIA KURIA
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 717-690-2646