MEDICARE: HEALING HANDS COMMUNITY 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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1467317842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS COMMUNITY SERVICES, LLC.

Provider Business Mailing Address
First Line	:	777 E 25TH ST STE 214
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3850
Country	:	US
Telephone Number	:	786-755-4815
Fax Number	:	786-755-4821

Provider Business Practice Location Address
First Line	:	777 E 25TH ST STE 214
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33013-3850
Country	:	US
Telephone Number	:	786-755-4815
Fax Number	:	786-755-4821

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE E VILLASUSO MORALES
Credential	:	APRN-FNP
Telephone Number	:	786-755-4815

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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