Healthcare Provider Details

I. General information

NPI: 1215447636
Provider Name (Legal Business Name): HANDS OF HEALING PROVIDER SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2017
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 UPTOWN BLVD STE 267
CEDAR HILL TX
75104-3528
US

IV. Provider business mailing address

610 UPTOWN BLVD STE 267
CEDAR HILL TX
75104-3528
US

V. Phone/Fax

Practice location:
  • Phone: 713-416-7187
  • Fax: 214-919-4378
Mailing address:
  • Phone: 713-416-7187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DR. ADANNE OKENDU LACY
Title or Position: PRESIDENT/OWNER
Credential: PHARMD
Phone: 713-416-7187