Healthcare Provider Details

I. General information

NPI: 1194587766
Provider Name (Legal Business Name): HANDS OF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 CYPRESS CREEK PKWY STE 400A
HOUSTON TX
77068-3531
US

IV. Provider business mailing address

3845 CYPRESS CREEK PKWY STE 400A
HOUSTON TX
77068-3531
US

V. Phone/Fax

Practice location:
  • Phone: 346-837-1384
  • Fax: 281-657-7898
Mailing address:
  • Phone: 346-837-1384
  • Fax: 281-657-7898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: KENDRA DAVIS
Title or Position: MANAGER
Credential:
Phone: 346-763-1384