Provider Demographics
NPI:1275383465
Name:HANDS OF PRAISE HOME CARE
Entity Type:Organization
Organization Name:HANDS OF PRAISE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGRONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-323-4219
Mailing Address - Street 1:1112 BENJAMIN AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-3225
Mailing Address - Country:US
Mailing Address - Phone:616-323-4219
Mailing Address - Fax:
Practice Address - Street 1:1112 BENJAMIN AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-3225
Practice Address - Country:US
Practice Address - Phone:616-323-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health