MEDICARE: HEAVENLY CARING HANDS

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	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1154682854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAVENLY CARING HANDS

Provider Business Mailing Address
First Line	:	5039 REED RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-4000
Country	:	US
Telephone Number	:	713-264-7709
Fax Number	:	713-264-7755

Provider Business Practice Location Address
First Line	:	5039 REED RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77033-4000
Country	:	US
Telephone Number	:	713-264-7709
Fax Number	:	713-264-7755

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MISS DEBRA GARRETT
Credential	:
Telephone Number	:	713-264-7709

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	05/30/2012

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Directions to “HEAVENLY CARING HANDS ” Practice Location

Language	Start Address	Practice Location

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