Provider Demographics
NPI:1275150153
Name:HEALING HANDS HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HEALING HANDS HEALTH SERVICES LLC
Other - Org Name:HEALING HANDS HEALTH SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUPITER
Authorized Official - Middle Name:A
Authorized Official - Last Name:FLEURIMON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:561-574-9087
Mailing Address - Street 1:6066 YERBA BUENA CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-7410
Mailing Address - Country:US
Mailing Address - Phone:561-473-5723
Mailing Address - Fax:561-473-5717
Practice Address - Street 1:3141 S MILITARY TRL STE 110
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-2133
Practice Address - Country:US
Practice Address - Phone:561-473-5723
Practice Address - Fax:561-473-5717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299995349OtherHOME HEALTH AGENCY
FL237496OtherHOMEMAKER AND COMPANION SERVICES
FL30212118OtherNURSE REGISTRY
FL112466500Medicaid
FL112944900Medicaid
FL2582OtherHEALTHCARE SERVICES POOL