Provider Demographics
NPI:1568600518
Name:HANDS OF COMPASSION HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:HANDS OF COMPASSION HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JABARIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-917-6316
Mailing Address - Street 1:2538 FEYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3875
Mailing Address - Country:US
Mailing Address - Phone:404-917-6316
Mailing Address - Fax:
Practice Address - Street 1:2538 FEYWOOD CT
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3875
Practice Address - Country:US
Practice Address - Phone:404-917-6316
Practice Address - Fax:770-981-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044R0524251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA044R0524Medicaid