Healthcare Provider Details

I. General information

NPI: 1922935337
Provider Name (Legal Business Name): GIFTED HANDS CARE ADULT FAMILY HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11614 E 20TH AVE
SPOKANE VALLEY WA
99206-5708
US

IV. Provider business mailing address

11614 E 20TH AVE
SPOKANE VALLEY WA
99206-5708
US

V. Phone/Fax

Practice location:
  • Phone: 984-344-7266
  • Fax:
Mailing address:
  • Phone: 984-344-7266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SUSAN GACHAMBI KABAIKU
Title or Position: OWNER/ PROVIDER
Credential:
Phone: 984-344-7266