Provider Demographics
NPI:1568067643
Name:HEALING HANDS HOME CARE LLC
Entity Type:Organization
Organization Name:HEALING HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:513-227-1663
Mailing Address - Street 1:1561 PLEASANT RUN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1127
Mailing Address - Country:US
Mailing Address - Phone:513-227-1663
Mailing Address - Fax:
Practice Address - Street 1:1561 PLEASANT RUN DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1127
Practice Address - Country:US
Practice Address - Phone:513-227-1663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health