Healthcare Provider Details

I. General information

NPI: 1760348791
Provider Name (Legal Business Name): HANDS OF HEAVEN LLC DBA VISITING ANGELS JACKSON, TN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 01/03/2026
Certification Date: 01/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 N STAR DR STE C
JACKSON TN
38305-5686
US

IV. Provider business mailing address

86 N STAR DR STE C
JACKSON TN
38305-5686
US

V. Phone/Fax

Practice location:
  • Phone: 731-574-9933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOLE MANGALINDAN
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 731-437-0695