Healthcare Provider Details

I. General information

NPI: 1114703493
Provider Name (Legal Business Name): HEALING HANDS HOMECARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2023
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6028 CHESTER AVE STE 200
JACKSONVILLE FL
32217-2285
US

IV. Provider business mailing address

6028 CHESTER AVE STE 200
JACKSONVILLE FL
32217-2285
US

V. Phone/Fax

Practice location:
  • Phone: 904-274-2863
  • Fax: 904-467-3137
Mailing address:
  • Phone: 904-274-2863
  • Fax: 904-467-3137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS LASEANE J PLATTS
Title or Position: CEO
Credential: CNA
Phone: 904-616-8313