Provider Demographics
NPI:1376596858
Name:HEALING HANDS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HEALING HANDS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:WALDRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-275-4325
Mailing Address - Street 1:952 ONEAL LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-1807
Mailing Address - Country:US
Mailing Address - Phone:225-275-4325
Mailing Address - Fax:225-272-8198
Practice Address - Street 1:3542 HIGHWAY 1 S
Practice Address - Street 2:
Practice Address - City:DONALDSONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70346-9701
Practice Address - Country:US
Practice Address - Phone:225-473-0600
Practice Address - Fax:225-473-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAHH0001386251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1403342Medicaid
LA197455Medicare ID - Type Unspecified