Provider Demographics
NPI:1467932178
Name:HANDS OF GOD HOME & CARE LLC
Entity Type:Organization
Organization Name:HANDS OF GOD HOME & CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-295-5265
Mailing Address - Street 1:1030 CACTUS DR
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-2396
Mailing Address - Country:US
Mailing Address - Phone:214-295-5265
Mailing Address - Fax:214-484-6572
Practice Address - Street 1:8035 E R L THORNTON FWY STE 307
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7066
Practice Address - Country:US
Practice Address - Phone:214-295-5265
Practice Address - Fax:469-839-3990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty