Healthcare Provider Details

I. General information

NPI: 1619830940
Provider Name (Legal Business Name): HEALING HANDS HOME HEALTH CARE LTD CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5122 3RD AVE
EASTMAN GA
31023-6204
US

IV. Provider business mailing address

5122 3RD AVE
EASTMAN GA
31023-6204
US

V. Phone/Fax

Practice location:
  • Phone: 404-919-1952
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BEVERLY WORTHEN
Title or Position: ADMINISTRATOR
Credential:
Phone: 404-919-1952