Provider Demographics
NPI:1902270119
Name:SANDREWFAR LLC
Entity Type:Organization
Organization Name:SANDREWFAR LLC
Other - Org Name:GENTLE CARING HANDS CAREGIVER SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:863-496-5179
Mailing Address - Street 1:1893 SNAPPER DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4823
Mailing Address - Country:US
Mailing Address - Phone:863-496-5179
Mailing Address - Fax:718-617-9213
Practice Address - Street 1:1893 SNAPPER DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4823
Practice Address - Country:US
Practice Address - Phone:863-496-5179
Practice Address - Fax:718-617-9213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-26
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9360500163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty