=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215578687
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HANDS WITH HEART HOME HEALTHCARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2019
-----------------------------------------------------
Last Update Date | 12/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 910 28 1/2
-----------------------------------------------------
City | DICKINSON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77539-6580
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-549-7353
-----------------------------------------------------
Fax | 281-886-3859
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 81
-----------------------------------------------------
City | BACLIFF
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77518-0081
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-549-7353
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER/ALTERNATE ADMINISTRATOR
-----------------------------------------------------
Name | MRS. SHARON E BLACK
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-549-7353
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------