Provider Demographics
NPI:1013738079
Name:GLORIOUS HANDS HOME CARE LLC
Entity type:Organization
Organization Name:GLORIOUS HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IFEOLOUWA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:IL
Authorized Official - Phone:502-287-8511
Mailing Address - Street 1:9307 RACQUET CLUB DR APT D
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1150
Mailing Address - Country:US
Mailing Address - Phone:317-778-2115
Mailing Address - Fax:
Practice Address - Street 1:9307 RACQUET CLUB DR APT D
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1150
Practice Address - Country:US
Practice Address - Phone:317-778-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health