MEDICARE: DR HANDS HOME HEALTH CARE/TRANSPORTATION 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	:	1306705264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR HANDS HOME HEALTH CARE/TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	612 W 14TH ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-5804
Country	:	US
Telephone Number	:	336-865-5027
Fax Number	:

Provider Business Practice Location Address
First Line	:	612 W 14TH ST
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27105-5804
Country	:	US
Telephone Number	:	336-865-5027
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA MICKENS
Credential	:
Telephone Number	:	336-865-5027

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

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