MEDICARE: GIFTED HANDS HOSPICE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1396433702
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIFTED HANDS HOSPICE LLC

Provider Business Mailing Address
First Line	:	4402 BROADWAY BLVD # 14D
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-8263
Country	:	US
Telephone Number	:	214-394-6821
Fax Number	:	214-593-3235

Provider Business Practice Location Address
First Line	:	4402 BROADWAY BLVD
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75043-8263
Country	:	US
Telephone Number	:	214-394-6821
Fax Number	:	214-593-3235

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. VIJU P THOMAS
Credential	:
Telephone Number	:	214-394-6821

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	01/14/2026

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