Healthcare Provider Details

I. General information

NPI: 1134457625
Provider Name (Legal Business Name): HAND & HAND HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2009
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 KAUFFMAN CT E
WILSON NC
27893-8959
US

IV. Provider business mailing address

2405 KAUFFMAN CT E
WILSON NC
27893-8959
US

V. Phone/Fax

Practice location:
  • Phone: 252-360-3124
  • Fax: 252-360-3124
Mailing address:
  • Phone: 252-360-3124
  • Fax: 252-360-3124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3950
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MRS. LAKISHA JUANITA BATTS
Title or Position: CEO
Credential:
Phone: 252-245-0933