Healthcare Provider Details

I. General information

NPI: 1508463498
Provider Name (Legal Business Name): HANDS N HEARTS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 10/05/2020
Certification Date: 10/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4407 S AGAVE AVE
YUMA AZ
85365-6395
US

IV. Provider business mailing address

4407 S AGAVE AVE
YUMA AZ
85365-6395
US

V. Phone/Fax

Practice location:
  • Phone: 928-257-2897
  • Fax:
Mailing address:
  • Phone: 928-257-2897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. CRISTINA MARIE MCINNES
Title or Position: OWNER
Credential:
Phone: 928-257-2897