Provider Demographics
NPI:1366081655
Name:GIANTS SERVICES SPRL LLC
Entity type:Organization
Organization Name:GIANTS SERVICES SPRL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN RAPHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NDJADI HYAMBE YA SHAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-615-8274
Mailing Address - Street 1:3430 BOLLER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1404
Mailing Address - Country:US
Mailing Address - Phone:347-615-8274
Mailing Address - Fax:
Practice Address - Street 1:3430 BOLLER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1404
Practice Address - Country:US
Practice Address - Phone:347-615-8274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GIANTS SERVICES SPRL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-03
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty