Provider Demographics
NPI:1134680903
Name:HEALING HANDS HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:HEALING HANDS HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-349-0783
Mailing Address - Street 1:401 E 162ND ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SOUTH HOLLAND
Mailing Address - State:IL
Mailing Address - Zip Code:60473-2237
Mailing Address - Country:US
Mailing Address - Phone:773-349-0783
Mailing Address - Fax:
Practice Address - Street 1:540 W 35TH ST STE 202
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3532
Practice Address - Country:US
Practice Address - Phone:312-819-5300
Practice Address - Fax:312-819-5333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health