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NPI 1538744784

NPI 1538744784 : HEALING HANDS HOME CARE AND HOSPICE LLC : OAK PARK, MI

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General NPI Number Information
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    NPI Number           |    1538744784
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALING HANDS HOME CARE AND HOSPICE LLC 
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Dates
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    Enumeration Date     |    03/09/2021
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    Last Update Date     |    03/09/2021
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Provider Practice Location Address
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    Address Line         |    14441 NORTHFIELD BLVD 
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    City                 |    OAK PARK
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    State                |    MI
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    Zip                  |    48237-1522
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    Country              |    US
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    Telephone            |    248-739-2290
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14441 NORTHFIELD BLVD 
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    City                 |    OAK PARK
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    State                |    MI
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    Zip                  |    48237-1522
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |     DAMITA  FERGUSON 
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    Credential           |    RN,LNHA
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    Telephone            |    248-739-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management 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        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training 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        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care 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        |    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 #6
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    385H00000X
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    Taxonomy Name        |    Respite Care
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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