Provider Demographics
NPI:1821638289
Name:HEALING HANDS NURSING HOME SERVICES LLC
Entity Type:Organization
Organization Name:HEALING HANDS NURSING HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:352-345-2237
Mailing Address - Street 1:PO BOX 26307
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33623-6307
Mailing Address - Country:US
Mailing Address - Phone:352-345-2237
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:12170 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5578
Practice Address - Country:US
Practice Address - Phone:352-397-4292
Practice Address - Fax:352-397-4298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4LCDBOtherFL BCBS