Provider Demographics
NPI:1578456745
Name:RIPPER HANDS OF CARE LLC
Entity type:Organization
Organization Name:RIPPER HANDS OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:SIBYLLE
Authorized Official - Middle Name:RIPPER
Authorized Official - Last Name:CORNELIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-718-6879
Mailing Address - Street 1:101 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:BYRON
Mailing Address - State:GA
Mailing Address - Zip Code:31008-6360
Mailing Address - Country:US
Mailing Address - Phone:478-719-6968
Mailing Address - Fax:
Practice Address - Street 1:101 CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:GA
Practice Address - Zip Code:31008-6360
Practice Address - Country:US
Practice Address - Phone:478-719-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty