Provider Demographics
NPI:1285110452
Name:HEALING HANDS PERSONAL SERVICES AGENCY LLC
Entity type:Organization
Organization Name:HEALING HANDS PERSONAL SERVICES AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-400-9701
Mailing Address - Street 1:216 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46016-1512
Mailing Address - Country:US
Mailing Address - Phone:765-400-9701
Mailing Address - Fax:317-353-3467
Practice Address - Street 1:216 E 9TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46016-1512
Practice Address - Country:US
Practice Address - Phone:765-400-9701
Practice Address - Fax:317-353-3467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care