Provider Demographics
NPI:1477305258
Name:HANDS OF FAITH HOMECARE AGENCY, LLC
Entity type:Organization
Organization Name:HANDS OF FAITH HOMECARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-803-2753
Mailing Address - Street 1:35 MOUNT CALVARY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MC COOL
Mailing Address - State:MS
Mailing Address - Zip Code:39108-9510
Mailing Address - Country:US
Mailing Address - Phone:662-803-2753
Mailing Address - Fax:
Practice Address - Street 1:35 MOUNT CALVARY CHURCH RD
Practice Address - Street 2:
Practice Address - City:MC COOL
Practice Address - State:MS
Practice Address - Zip Code:39108-9510
Practice Address - Country:US
Practice Address - Phone:662-803-2753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care