Provider Demographics
NPI:1124606850
Name:HANDS THAT CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:HANDS THAT CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-305-8250
Mailing Address - Street 1:9988 CLAYTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:SANDERSON
Mailing Address - State:FL
Mailing Address - Zip Code:32087
Mailing Address - Country:US
Mailing Address - Phone:904-305-8250
Mailing Address - Fax:
Practice Address - Street 1:9988 CLAYTON AVENUE
Practice Address - Street 2:
Practice Address - City:SANDERSON
Practice Address - State:FL
Practice Address - Zip Code:32087
Practice Address - Country:US
Practice Address - Phone:904-305-8250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care