Provider Demographics
NPI:1528533213
Name:CARING HANDS SERVICE FACILITATOR
Entity type:Organization
Organization Name:CARING HANDS SERVICE FACILITATOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:804-507-1822
Mailing Address - Street 1:7421 WELLINGTON WOODS RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-6575
Mailing Address - Country:US
Mailing Address - Phone:804-507-1822
Mailing Address - Fax:
Practice Address - Street 1:7421 WELLINGTON WOODS RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-6575
Practice Address - Country:US
Practice Address - Phone:804-507-1822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty