Healthcare Provider Details

I. General information

NPI: 1174460851
Provider Name (Legal Business Name): HEALING HANDS HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

681 MONTANA AVE SE
PALM BAY FL
32909-4372
US

IV. Provider business mailing address

681 MONTANA AVE SE
PALM BAY FL
32909-4372
US

V. Phone/Fax

Practice location:
  • Phone: 321-481-9348
  • Fax: 321-481-9348
Mailing address:
  • Phone: 321-481-9348
  • Fax: 321-481-9348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JAILESHA BROWN
Title or Position: OWNER
Credential:
Phone: 321-481-9348