Organization Active NPI

Gifted Hands With a Heart Inc

  • In Home Supportive Care Agency
  • Winter Haven, FL
National Provider Identifier
1144853227
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GIFTED HANDS WITH A HEART INC
Practice address
111 Avenue R NE Ste 101
Winter Haven, FL 33881-2472
Phone
(844) 244-1044
Fax
(863) 299-8134
NPI assigned
Feb 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Ms. Patrice Latoya Howard
Title
Ceo
Phone
(844) 244-1044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

111 Avenue R NE Ste 101
Winter Haven, FL 33881-2472

Mailing address

111 Avenue R NE Ste 101
Winter Haven, FL 33881-2472
Phone (863) 604-5560

Other identifiers 1

IdentifierTypeStateIssuer
104396400MedicaidFL

Other names 1

  • Gifted Hands Doing business as

National Provider Directory

National Provider Directory

Locations

111 Avenue R NE
Ste 101
Winter Haven, FL 33881
Phone (844) 244-1044

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1144853227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AVENUE R NE STE 101",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812472",
            "telephone_number": "863-604-5560",
            "fax_number": "863-299-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVENUE R NE STE 101",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338812472",
            "telephone_number": "844-244-1044",
            "fax_number": "863-299-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS WITH A HEART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "LATOYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-244-1044",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104396400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifted Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.