Provider Demographics
NPI:1215578687
Name:HANDS WITH HEART HOME HEALTHCARE
Entity type:Organization
Organization Name:HANDS WITH HEART HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-549-7353
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:BACLIFF
Mailing Address - State:TX
Mailing Address - Zip Code:77518-0081
Mailing Address - Country:US
Mailing Address - Phone:281-549-7353
Mailing Address - Fax:
Practice Address - Street 1:5741 FM 646 RD E STE 378
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-2418
Practice Address - Country:US
Practice Address - Phone:281-549-7353
Practice Address - Fax:409-994-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care