MEDICARE: HEAVENLY HANDS HOME CARE LTD

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	HC3569	NC

General Provider Information

NPI Number	:	1043385990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY HANDS HOME CARE LTD

Provider Business Mailing Address
First Line	:	PO BOX 29516
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28229-9516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8501 TOWER POINT DR STE D-9
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7849
Country	:	US
Telephone Number	:	704-269-5661
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	VINCENT MITCHELL
Credential	:
Telephone Number	:	704-493-3418

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	02/10/2023

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Directions to “HEAVENLY HANDS HOME CARE LTD ” Practice Location

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