Provider Demographics
NPI:1780169078
Name:HEALING HANDS HOMECARE AND COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:HEALING HANDS HOMECARE AND COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:IVORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-218-5164
Mailing Address - Street 1:3159 FEE FEE RD STE 205
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-3299
Mailing Address - Country:US
Mailing Address - Phone:314-833-7779
Mailing Address - Fax:314-395-5454
Practice Address - Street 1:3159 FEE FEE RD STE 205
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-3299
Practice Address - Country:US
Practice Address - Phone:314-833-7779
Practice Address - Fax:314-395-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2220828Medicaid