Organization Active NPI

Healing Hands Private Care ,LLC

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1043629884
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALING HANDS PRIVATE CARE ,LLC
Practice address
2100 Parklake Dr NE # C-5
Atlanta, GA 30345-2824
Phone
(678) 387-9409
Fax
(470) 401-2557
NPI assigned
Aug 6, 2014
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Staci Slack
Title
Chief Executive Officer
Phone
(678) 387-9409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2100 Parklake Dr NE # C-5
Atlanta, GA 30345-2824

Mailing address

4440 Idlewood Park
Lithonia, GA 30038-6247
Phone (678) 559-8378

National Provider Directory

National Provider Directory

Locations

2100 Parklake Dr NE
#C5
Atlanta, GA 30345
Phone (678) 387-9409

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1043629884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 IDLEWOOD PARK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300386247",
            "telephone_number": "678-559-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PARKLAKE DR NE # C-5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452824",
            "telephone_number": "678-387-9409",
            "fax_number": "470-401-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS PRIVATE CARE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-387-9409",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.