=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104716604
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GIFTED TOUCH IN-HOME SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2025
-----------------------------------------------------
Last Update Date | 09/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 104 E CENTER ST STE 106
-----------------------------------------------------
City | SIKESTON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63801-4108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-607-0632
-----------------------------------------------------
Fax | 573-312-2632
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 104 E CENTER ST STE 106
-----------------------------------------------------
City | SIKESTON
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63801-4108
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 573-607-0632
-----------------------------------------------------
Fax | 573-312-2632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TIFFANY RENEE HARRIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 573-607-0632
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------