Healthcare Provider Details

I. General information

NPI: 1376335349
Provider Name (Legal Business Name): IN DEES' LOVING HANDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 W FRONT ST
EVERGREEN AL
36401-2301
US

IV. Provider business mailing address

4155 NYMPH RD
EVERGREEN AL
36401-8343
US

V. Phone/Fax

Practice location:
  • Phone: 251-230-1301
  • Fax:
Mailing address:
  • Phone: 470-721-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: KHADISJA A DEES
Title or Position: CO-OWNER AND DIRECTOR
Credential: CCMA
Phone: 470-721-8898