Provider Demographics
NPI:1467406686
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:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:MAYELA
Authorized Official - Last Name:CEPEDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-727-9111
Mailing Address - Street 1:6510 POLARIS DR.
Mailing Address - Street 2:STE. 3
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-727-9111
Mailing Address - Fax:956-727-9107
Practice Address - Street 1:6510 POLARIS DR.
Practice Address - Street 2:STE. 3
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-727-9111
Practice Address - Fax:956-727-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010416163WH0200X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1833069-01Medicaid
TX679502Medicare Oscar/Certification