Healthcare Provider Details

I. General information

NPI: 1821741562
Provider Name (Legal Business Name): HANDS OF CARE AT HOME SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2022
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6009 1ST AVE S
BIRMINGHAM AL
35212-3000
US

IV. Provider business mailing address

6009 1ST AVE S
BIRMINGHAM AL
35212-3000
US

V. Phone/Fax

Practice location:
  • Phone: 205-821-3693
  • Fax:
Mailing address:
  • Phone: 205-821-3693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE LASHAY WILLIAMS
Title or Position: OWNER
Credential:
Phone: 205-821-3693