Provider Demographics
NPI:1144194192
Name:MARY MARIE GIFTED HANDS SENIOR CARE SERVICES LLC
Entity type:Organization
Organization Name:MARY MARIE GIFTED HANDS SENIOR CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-993-8100
Mailing Address - Street 1:2046 N 9TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66101-1560
Mailing Address - Country:US
Mailing Address - Phone:816-993-8100
Mailing Address - Fax:
Practice Address - Street 1:2046 N 9TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-1560
Practice Address - Country:US
Practice Address - Phone:816-993-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty