Provider Demographics
NPI:1316537764
Name:HEALING HANDS SENIOR CARE LLC
Entity type:Organization
Organization Name:HEALING HANDS SENIOR CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAI
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOHLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-216-4727
Mailing Address - Street 1:5154 PLEASANT FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1248
Mailing Address - Country:US
Mailing Address - Phone:571-216-4727
Mailing Address - Fax:
Practice Address - Street 1:8409 DORSEY CIR STE 201D
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8305
Practice Address - Country:US
Practice Address - Phone:571-216-4727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health