Provider Demographics
NPI:1770942104
Name:PRAYING HANDS HOME HEALTH CARE SERVICES LLC.
Entity type:Organization
Organization Name:PRAYING HANDS HOME HEALTH CARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATRISHA
Authorized Official - Middle Name:LASHAWN
Authorized Official - Last Name:WASHINGTON-JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1844-377-2946
Mailing Address - Street 1:3520 RIPPLING WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1703
Mailing Address - Country:US
Mailing Address - Phone:184-437-7294
Mailing Address - Fax:184-444-6547
Practice Address - Street 1:3520 RIPPLING WAY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-1703
Practice Address - Country:US
Practice Address - Phone:184-437-7294
Practice Address - Fax:184-444-6547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service