Provider Demographics
NPI:1720623887
Name:HEALING SPRING CARE SERVICES
Entity Type:Organization
Organization Name:HEALING SPRING CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HADDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-686-5356
Mailing Address - Street 1:5901 LOCUST LN APT C
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5672
Mailing Address - Country:US
Mailing Address - Phone:717-686-5356
Mailing Address - Fax:
Practice Address - Street 1:5901 LOCUST LN APT C
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5672
Practice Address - Country:US
Practice Address - Phone:717-686-5356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health