Organization Active NPI

Gifted Hands Homecare LLC Agency

  • In Home Supportive Care Agency
  • Defuniak Springs, FL
National Provider Identifier
1801556030
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GIFTED HANDS HOMECARE LLC AGENCY
Practice address
1323 N 20TH St
Defuniak Springs, FL 32433-1556
Phone
(850) 419-0872
Fax
(850) 331-1532
NPI assigned
Dec 29, 2021
Last updated
Apr 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Authorized official

Name
Samoan S Hogans
Title
Owner
Phone
(850) 419-0872

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1323 N 20TH St
Defuniak Springs, FL 32433-1556

Mailing address

1323 N 20TH St
Defuniak Springs, FL 32433-1556
Phone (850) 419-0872

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1801556030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 N 20TH ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324331556",
            "telephone_number": "850-419-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 N 20TH ST",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324331556",
            "telephone_number": "850-419-0872",
            "fax_number": "850-331-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HANDS HOMECARE LLC AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "HOGANS",
        "authorized_official_first_name": "SAMOAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-419-0872"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.