MEDICARE: HOLY HAND HOME CARE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	320700000X	Physical Disabilities Residential Treatment Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1396613659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLY HAND HOME CARE INC.

Provider Business Mailing Address
First Line	:	3301 WHITE BLOSSOM LN
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6366
Country	:	US
Telephone Number	:	352-988-9276
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 WHITE BLOSSOM LN
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6366
Country	:	US
Telephone Number	:	352-988-9276
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER; ADMINISTRATOR
Name	:	MS. EVELYNE CHARLES
Credential	:	CEO
Telephone Number	:	352-988-9276

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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