MEDICARE: HEALING HANDS HOME CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1278L001	NY

General Provider Information

NPI Number	:	1073814646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS HOME CARE, INC.

Provider Business Mailing Address
First Line	:	550 FRONT ST
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-4445
Country	:	US
Telephone Number	:	516-945-5940
Fax Number	:	516-539-2121

Provider Business Practice Location Address
First Line	:	849 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-3106
Country	:	US
Telephone Number	:	718-282-5953
Fax Number	:	516-539-2121

Authorized Official
Title or Position	:	PRESIDENT
Name	:	REGINALD VILLIER
Credential	:
Telephone Number	:	718-282-5953

Provider Enumeration Date	:	11/12/2010
Last Update Date	:	11/12/2010

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