Provider Demographics
NPI:1710348396
Name:HANDS OF HOPE HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:HANDS OF HOPE HEALTH CARE SERVICES
Other - Org Name:HANDS OF HOPE HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-704-1593
Mailing Address - Street 1:4529 STERLING GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-7616
Mailing Address - Country:US
Mailing Address - Phone:205-704-1593
Mailing Address - Fax:
Practice Address - Street 1:4529 STERLING GLEN CIR
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-7616
Practice Address - Country:US
Practice Address - Phone:205-704-1593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1447635339OtherOTHER NPI NUMBER