MEDICARE: HEALING HANDS HOME HEALTH CARE 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	:	1447187661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	681 MONTANA AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4372
Country	:	US
Telephone Number	:	321-481-9348
Fax Number	:	321-481-9348

Provider Business Practice Location Address
First Line	:	681 MONTANA AVE SE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32909-4372
Country	:	US
Telephone Number	:	321-481-9348
Fax Number	:	321-481-9348

Authorized Official
Title or Position	:	OWNER
Name	:	JAILESHA BROWN
Credential	:
Telephone Number	:	321-481-9348

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/05/2026

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