Provider Demographics
NPI:1992799209
Name:HEALING HANDS
Entity type:Organization
Organization Name:HEALING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATSY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CANTRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-279-1665
Mailing Address - Street 1:114 N LAMBERT ST
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-2117
Mailing Address - Country:US
Mailing Address - Phone:817-279-1665
Mailing Address - Fax:817-279-1689
Practice Address - Street 1:114 N LAMBERT ST
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2117
Practice Address - Country:US
Practice Address - Phone:817-279-1665
Practice Address - Fax:817-279-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007444251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679021Medicare ID - Type UnspecifiedHOME HEALTH