Provider Demographics
NPI:1316460488
Name:AP HEALING HANDS HOME CARE, CORP.
Entity type:Organization
Organization Name:AP HEALING HANDS HOME CARE, CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AGEMEMNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-614-7570
Mailing Address - Street 1:11 GARDEN ST UNIT 301
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1947
Mailing Address - Country:US
Mailing Address - Phone:609-500-4035
Mailing Address - Fax:609-614-2065
Practice Address - Street 1:11 GARDEN ST UNIT 301
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1947
Practice Address - Country:US
Practice Address - Phone:609-500-4035
Practice Address - Fax:609-614-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
NJ2110548253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherHOME CARE SERVICE