Gifted Hands Home Care Agency LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GIFTED HANDS HOME CARE AGENCY LLC

Practice address

20144 Providence LN
Lynwood, IL 60411-1082

Phone

(708) 898-1750

NPI assigned

Aug 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olatunde O FatinikunNPI 1942383450

Title

Director

Phone

(419) 575-3110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olatunde Ore Fatinikun, M.D.

  • Child & Adolescent Psychiatry Physician
  • Seffner, FL
  • NPI 1942383450
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1013635218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20144 PROVIDENCE LN",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111082",
            "telephone_number": "708-898-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20144 PROVIDENCE LN",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111082",
            "telephone_number": "708-898-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "FATINIKUN",
        "authorized_official_first_name": "OLATUNDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-575-3110"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Marie Goforth, SLP
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• Linda Denise Granger
• Deon Edward Griffin Jr., EIN
• Debra Ann Harris, OTR/L

• In Home Supportive Care Agency in Lynwood, IL
• Providers in Lynwood, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.