Healthcare Provider Details

I. General information

NPI: 1619209814
Provider Name (Legal Business Name): HEALING HANDS HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 SPRING CREEK RD
BRANSON MO
65616-7525
US

IV. Provider business mailing address

673 SPRING CREEK RD
BRANSON MO
65616-7525
US

V. Phone/Fax

Practice location:
  • Phone: 417-544-1375
  • Fax: 888-316-6298
Mailing address:
  • Phone: 417-544-1375
  • Fax: 888-316-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number833HH
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SARA J SMITH
Title or Position: OWNER
Credential:
Phone: 417-544-1375