Provider Demographics
NPI:1154619146
Name:HEALING HANDS ELDER CARE SERVICES, LLC
Entity type:Organization
Organization Name:HEALING HANDS ELDER CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLEISHA
Authorized Official - Middle Name:SHEIVON
Authorized Official - Last Name:BREWTON
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MMPA
Authorized Official - Phone:704-629-9746
Mailing Address - Street 1:2457 GELSINGER AVENUE
Mailing Address - Street 2:
Mailing Address - City:BESSEMER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28016
Mailing Address - Country:US
Mailing Address - Phone:704-629-9746
Mailing Address - Fax:704-629-9746
Practice Address - Street 1:2457 GELSINGER AVE
Practice Address - Street 2:
Practice Address - City:BESSEMER CITY
Practice Address - State:NC
Practice Address - Zip Code:28016-6812
Practice Address - Country:US
Practice Address - Phone:704-629-9746
Practice Address - Fax:704-629-9746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health