1306287529 NPI number — HEALING HANDS MINISTRIES INC.

Table of content: (NPI 1306287529)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306287529 NPI number — HEALING HANDS MINISTRIES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALING HANDS MINISTRIES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306287529
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8515 GREENVILLE AVE STE N108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75243-7035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-221-0855
Provider Business Mailing Address Fax Number:
214-221-1437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8515 GREENVILLE AVE
Provider Second Line Business Practice Location Address:
STE N-108
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-221-0855
Provider Business Practice Location Address Fax Number:
214-710-1303
Provider Enumeration Date:
07/16/2013

Additional Information

Authorized Official

Authorized Official Last Name:
GOMEZ
Authorized Official First Name:
ROSA
Authorized Official Middle Name:
NATALIE
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
214-221-0855

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  9098239 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 332302404 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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