Provider Demographics
NPI:1942735998
Name:HEAVENLY HANDS IN HOME CARE, INC
Entity type:Organization
Organization Name:HEAVENLY HANDS IN HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLYE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-809-0326
Mailing Address - Street 1:5018 LOTUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63113-1126
Mailing Address - Country:US
Mailing Address - Phone:314-809-0326
Mailing Address - Fax:
Practice Address - Street 1:5018 LOTUS AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63113-1126
Practice Address - Country:US
Practice Address - Phone:314-809-0326
Practice Address - Fax:314-769-9278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health