Provider Demographics
NPI:1689282162
Name:HEALING HANDS HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:HEALING HANDS HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:EBONI
Authorized Official - Middle Name:
Authorized Official - Last Name:JANUARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-324-4631
Mailing Address - Street 1:1900 N BAYSHORE DR APT 2411
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-3012
Mailing Address - Country:US
Mailing Address - Phone:314-324-4631
Mailing Address - Fax:
Practice Address - Street 1:1900 N BAYSHORE DR APT 2411
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-3012
Practice Address - Country:US
Practice Address - Phone:314-324-4631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No177F00000XOther Service ProvidersLodgingGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility