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NPI 1659109460

NPI 1659109460 : HEAVENS HAND HOMECARE LLC : MASSILLON, OH

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General NPI Number Information
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    NPI Number           |    1659109460
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEAVENS HAND HOMECARE LLC 
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Dates
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    Enumeration Date     |    07/23/2024
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    Last Update Date     |    12/02/2025
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Provider Practice Location Address
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    Address Line         |    3775 WALES AVE NW UPPR 2 
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    City                 |    MASSILLON
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    State                |    OH
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    Zip                  |    44646-3880
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    Country              |    US
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    Telephone            |    833-625-4445
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    Fax                  |    833-625-4445
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Provider Business Mailing Address
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    Address Line         |    3775 WALES AVE NW # 2 
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    City                 |    MASSILLON
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    State                |    OH
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    Zip                  |    44646-1894
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    Country              |    US
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    Telephone            |    833-625-4445
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    Fax                  |    833-625-4445
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Authorized Official
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    Title or Position    |    OWNWER/CEO
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    Name                 |     TIMEKA  COFFEY 
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    Credential           |    
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    Telephone            |    833-625-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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