MEDICARE: HEALING HANDS AND HEARTS 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	:	1598331134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS AND HEARTS LLC

Provider Business Mailing Address
First Line	:	919 TRUE ST UNIT E1
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1662
Country	:	US
Telephone Number	:	803-722-4021
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 TRUE ST UNIT E1
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1662
Country	:	US
Telephone Number	:	803-722-4021
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LATOYA L JOSEPH
Credential	:	RN
Telephone Number	:	803-722-4021

Provider Enumeration Date	:	06/03/2021
Last Update Date	:	06/03/2021

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