MEDICARE: HANDS OF REFUGE HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043198229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS OF REFUGE HOME CARE LLC

Provider Business Mailing Address
First Line	:	PO BOX 4732
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31914-0732
Country	:	US
Telephone Number	:	334-851-8585
Fax Number	:	334-851-8772

Provider Business Practice Location Address
First Line	:	1206 BROAD ST STE 202
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-5906
Country	:	US
Telephone Number	:	334-209-3909
Fax Number	:	334-209-4480

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DR. CORINTHIANS WASHINGTON
Credential	:	D.O., ED.D., CDCA
Telephone Number	:	334-851-8585

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	12/16/2025

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