MEDICARE: KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY

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

General Provider Information

NPI Number	:	1932074275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY

Provider Business Mailing Address
First Line	:	3595 HIRAM DOUGLASVILLE HWY STE 219
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-4964
Country	:	US
Telephone Number	:	678-739-7339
Fax Number	:	770-763-8185

Provider Business Practice Location Address
First Line	:	3595 HIRAM DOUGLASVILLE HWY STE 219
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-4964
Country	:	US
Telephone Number	:	678-739-7339
Fax Number	:	770-763-8185

Authorized Official
Title or Position	:	OWNER
Name	:	KADIAN TESHAGAY FACEY-MARTIN
Credential	:
Telephone Number	:	678-739-7339

Provider Enumeration Date	:	10/07/2025
Last Update Date	:	06/02/2026

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Directions to “KIND HANDS LOVING HEART PRIVATE HOME CARE AGENCY ” Practice Location

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