Provider Demographics
NPI:1114703493
Name:HEALING HANDS HOMECARE INC.
Entity type:Organization
Organization Name:HEALING HANDS HOMECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:LASEANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:PLATTS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:904-616-8313
Mailing Address - Street 1:6028 CHESTER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-2285
Mailing Address - Country:US
Mailing Address - Phone:904-274-2863
Mailing Address - Fax:904-467-3137
Practice Address - Street 1:6028 CHESTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32217-2285
Practice Address - Country:US
Practice Address - Phone:904-274-2863
Practice Address - Fax:904-467-3137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL120337300Medicaid