Provider Demographics
NPI:1215393541
Name:HANDS OF FAITH HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:HANDS OF FAITH HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-708-1146
Mailing Address - Street 1:312 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1105
Mailing Address - Country:US
Mailing Address - Phone:740-708-1146
Mailing Address - Fax:
Practice Address - Street 1:312 1ST AVE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-1105
Practice Address - Country:US
Practice Address - Phone:740-708-1146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health