MEDICARE: HEALING HAND'S CAREGIVERS,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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1124344775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HAND'S CAREGIVERS,LLC

Provider Business Mailing Address
First Line	:	5703 HARR AVE APT B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80902-1914
Country	:	US
Telephone Number	:	719-208-5231
Fax Number	:

Provider Business Practice Location Address
First Line	:	5703 HARR AVE APT B
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80902-1914
Country	:	US
Telephone Number	:	719-208-5231
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGEL ROBINSON
Credential	:	PN,CNA
Telephone Number	:	719-208-5231

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	04/07/2010

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