Provider Demographics
NPI:1629667456
Name:CARING HANDS FAMILY HEALTH LLC
Entity Type:Organization
Organization Name:CARING HANDS FAMILY HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SNELLEN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:270-899-1234
Mailing Address - Street 1:3529 S HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:HARNED
Mailing Address - State:KY
Mailing Address - Zip Code:40144-6151
Mailing Address - Country:US
Mailing Address - Phone:270-899-1234
Mailing Address - Fax:833-989-0949
Practice Address - Street 1:3529 S HIGHWAY 259
Practice Address - Street 2:
Practice Address - City:HARNED
Practice Address - State:KY
Practice Address - Zip Code:40144-6151
Practice Address - Country:US
Practice Address - Phone:270-899-1234
Practice Address - Fax:833-989-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-15
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100717980Medicaid