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General NPI Number Information
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NPI Number | 1528953734
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Entity Type | Organization
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Legal Business Name | HAYDEN'S HEALING HANDS LLC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 19959 RIOPELLE ST
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City | DETROIT
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State | MI
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Zip | 48203-1249
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Country | US
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Telephone | 586-980-0090
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Fax | 586-980-0090
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Provider Business Mailing Address
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Address Line | 14984 RIVER VIEW CT
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-5772
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Country | US
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Telephone | 586-980-0090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHAFONTA HAYDEN
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Credential |
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Telephone | 586-980-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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