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1104636794 NPI number — GIFTED HANDS HOME CARE

NPI Number: 1104636794
Health Care Provider/Practitioner: GIFTED HANDS HOME CARE

Information about “1104636794” NPI (GIFTED HANDS HOME CARE) exists in 1104636794 in HTML format HTML  |  1104636794 in plain Text format TXT  |  1104636794 in PDF (Portable Document Format) PDF  |  1104636794 in an XML format XML  formats.

NPI Number : 1104636794 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104636794",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "GIFTED HANDS HOME CARE LLC",
    "ParentOrgTIN": null,
    "OrgName": "GIFTED HANDS HOME CARE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5699 E 71ST ST STE 2A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "INDIANAPOLIS",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46220-3950",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-361-6988",
    "MailingAddressFaxNumber": "317-827-2919",
    "FirstLinePracticeLocationAddress": "3553 W PETERSON AVE STE 301",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60659-3268",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "317-361-6988",
    "PracticeLocationAddressFaxNumber": "317-827-2919",
    "EnumerationDate": "01/07/2025",
    "LastUpdateDate": "01/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ANDERSON",
    "AuthorizedOfficialFirstName": "VICTORIA",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "317-361-6988",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251E00000X",
        "TaxonomyName": "Home Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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