Organization Active NPI

Gifted Hands in-Home Care Agency LLC

Doing business as Gifted Hands in home care agency

  • In Home Supportive Care Agency
  • Gresham, OR
National Provider Identifier
1396259370
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2352 Issued in OR
Legal business name
GIFTED HANDS IN-HOME CARE AGENCY LLC
Doing business as
Gifted Hands in home care agency
Practice address
2770 SW Butler Rd
Gresham, OR 97080-5495
Phone
(971) 678-0443
NPI assigned
Nov 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Mr. Deffo Mebrat
Title
Adminstrator
Phone
(971) 678-0443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2352 OR Primary

Addresses

Primary practice location

2770 SW Butler Rd
Gresham, OR 97080-5495

Mailing address

2770 SW Butler Rd
Gresham, OR 97080-5495
Phone (971) 678-0443

Other names 1

  • Gifted Hands in home care agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1396259370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 SW BUTLER RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805495",
            "telephone_number": "971-678-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 SW BUTLER RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970805495",
            "telephone_number": "971-678-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS IN-HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "MEBRAT",
        "authorized_official_first_name": "DEFFO",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "971-678-0443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifted Hands in home care agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.