MEDICARE: CARING HANDS AT HOME 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	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356127112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HANDS AT HOME LLC

Provider Business Mailing Address
First Line	:	4758 WOODMERE BLVD STE A
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3076
Country	:	US
Telephone Number	:	334-782-1125
Fax Number	:

Provider Business Practice Location Address
First Line	:	4758 WOODMERE BLVD STE A
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3076
Country	:	US
Telephone Number	:	334-782-1125
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIRENA WYNN
Credential	:
Telephone Number	:	334-782-1125

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	04/14/2025

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