Provider Demographics
NPI:1073191532
Name:HAGINS HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HAGINS HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-864-0890
Mailing Address - Street 1:3770 TOLEDO RD APT 82
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-3327
Mailing Address - Country:US
Mailing Address - Phone:904-864-0890
Mailing Address - Fax:
Practice Address - Street 1:3770 TOLEDO RD APT 82
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-3327
Practice Address - Country:US
Practice Address - Phone:904-864-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care