Provider Demographics
NPI:1558527135
Name:HEAVENLY HANDS HEALTHCARE SERVICE
Entity Type:Organization
Organization Name:HEAVENLY HANDS HEALTHCARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:REID
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-214-1547
Mailing Address - Street 1:PO BOX 424
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-0424
Mailing Address - Country:US
Mailing Address - Phone:216-214-1547
Mailing Address - Fax:866-211-7896
Practice Address - Street 1:9470 LISTER LN
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-3275
Practice Address - Country:US
Practice Address - Phone:216-214-1547
Practice Address - Fax:866-211-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health