Provider Demographics
NPI:1043457260
Name:HEALING HANDS HOMECARE SERVICES, INC.
Entity Type:Organization
Organization Name:HEALING HANDS HOMECARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:HANNA
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:201-792-1234
Mailing Address - Street 1:725 NEWARK AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-2819
Mailing Address - Country:US
Mailing Address - Phone:201-792-1234
Mailing Address - Fax:201-792-1236
Practice Address - Street 1:725 NEWARK AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-2819
Practice Address - Country:US
Practice Address - Phone:201-792-1234
Practice Address - Fax:201-792-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0123300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health