Healthcare Provider Details

I. General information

NPI: 1871239426
Provider Name (Legal Business Name): HEALING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2022
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4522 KENNEDY BLVD
UNION CITY NJ
07087-8014
US

IV. Provider business mailing address

158 N 240 E
HURRICANE UT
84737-1380
US

V. Phone/Fax

Practice location:
  • Phone: 435-319-0351
  • Fax:
Mailing address:
  • Phone: 435-319-0351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SANCHEZ
Title or Position: DIRECTOR
Credential:
Phone: 951-805-4385