Provider Demographics
NPI:1366767055
Name:HEALING HANDS HEALTH CARE AGENCY, LLC
Entity type:Organization
Organization Name:HEALING HANDS HEALTH CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRUDY-ANN
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:201-568-0700
Mailing Address - Street 1:560 SYLVAN AVE
Mailing Address - Street 2:1 US EXECUTIVE CENTER
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-3119
Mailing Address - Country:US
Mailing Address - Phone:201-568-0700
Mailing Address - Fax:201-568-0717
Practice Address - Street 1:560 SYLVAN AVE
Practice Address - Street 2:1 US EXECUTIVE CENTER
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-3119
Practice Address - Country:US
Practice Address - Phone:201-568-0700
Practice Address - Fax:201-568-0717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0137200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health