Provider Demographics
NPI:1538920913
Name:HEALING HANDS AT HOME CARE
Entity type:Organization
Organization Name:HEALING HANDS AT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:QUIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-904-3822
Mailing Address - Street 1:1617 ANGUS RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24017-2105
Mailing Address - Country:US
Mailing Address - Phone:540-904-3822
Mailing Address - Fax:
Practice Address - Street 1:182 OAKDALE DR
Practice Address - Street 2:
Practice Address - City:BOONES MILL
Practice Address - State:VA
Practice Address - Zip Code:24065-4840
Practice Address - Country:US
Practice Address - Phone:540-904-3822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health