MEDICARE: HAND & HAND COMPANION SERVICES 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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1225755267
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND & HAND COMPANION SERVICES LLC

Provider Business Mailing Address
First Line	:	8730 7TH AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-2514
Country	:	US
Telephone Number	:	904-755-5209
Fax Number	:

Provider Business Practice Location Address
First Line	:	8730 7TH AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32208-2514
Country	:	US
Telephone Number	:	904-755-5209
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAWNATA HENRY
Credential	:
Telephone Number	:	904-755-5209

Provider Enumeration Date	:	10/20/2022
Last Update Date	:	02/02/2024

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