Grateful Hands Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRATEFUL HANDS SERVICES, INC.

Practice address

402 South Kentucky Avenue
Lakeland, FL 33801-3902

Phone

(863) 875-5403

Fax

(863) 268-8708

NPI assigned

Jan 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Fernandez-Marin, LPN

Title

Officer/Director

Phone

(863) 875-5403

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 687289

Legal name

GRATEFUL HANDS SERVICES, INC.

Doing business as

INDEPENDENCE HOME HEALTH OF CENTRAL FLORIDA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 7, 2023

Last certification

Nov 7, 2023

Organization structure

CorporationProprietary

Incorporated

Oct 24, 2022 in FL

Enrollment address

402 S Kentuck Avenue
Ste 125
Lakeland, FL 33801

Listed as

Independence Home Health of Central FloridaCCN 687289

Ownership

-

Certified

Nov 7, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1821703661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SOUTH KENTUCKY AVENUE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338013902",
            "telephone_number": "863-875-5403",
            "fax_number": "863-268-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SOUTH KENTUCKY AVENUE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338013902",
            "telephone_number": "863-875-5403",
            "fax_number": "863-268-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL HANDS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-MARIN",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "863-875-5403",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.