Healthcare Provider Details

I. General information

NPI: 1720943137
Provider Name (Legal Business Name): PALM HANDS PERSONAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389C CLIFF GOOKIN BLVD
TUPELO MS
38801-6458
US

IV. Provider business mailing address

1389C CLIFF GOOKIN BLVD
TUPELO MS
38801-6458
US

V. Phone/Fax

Practice location:
  • Phone: 662-397-2486
  • Fax:
Mailing address:
  • Phone: 662-397-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: VASHONDRA STERDIVANT
Title or Position: BUSINESS MANAGER
Credential:
Phone: 662-397-2486