Organization Active NPI

Gifted Hand Companions, LLC

  • Community Health Worker
  • Leesburg, FL
National Provider Identifier
1336812759
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
GIFTED HAND COMPANIONS, LLC
Practice address
2120 Aitkin Loop # 0
Leesburg, FL 34748-2962
Phone
(352) 801-5682
NPI assigned
Jul 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Tiffany Green
Title
Owner
Phone
(407) 712-5457

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2120 Aitkin Loop # 0
Leesburg, FL 34748-2962

Mailing address

2120 Aitkin Loop # 0
Leesburg, FL 34748-2962
Phone (352) 801-5682

Other identifiers 1

IdentifierTypeStateIssuer
237624OtherFLHOMEMAKER AND COMPANIONSHIP LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1336812759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 AITKIN LOOP # 0",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482962",
            "telephone_number": "352-801-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 AITKIN LOOP # 0",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482962",
            "telephone_number": "352-801-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HAND COMPANIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-712-5457"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMEMAKER AND COMPANIONSHIP LICENSE",
            "identifier": "237624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.