Organization Active NPI

Hishealinghands LLC

  • In Home Supportive Care Agency
  • Gary, IN
National Provider Identifier
1073377313
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HISHEALINGHANDS LLC
Practice address
308 E 21St Ave Ofc 1
Gary, IN 46407-2618
Phone
(121) 980-2428
NPI assigned
Feb 7, 2024
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
Shonta Shnora EdmondNPI 1124457791
Title
Owner/Ceo
Phone
(219) 802-4285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Homemaker 376J00000X

Addresses

Primary practice location

308 E 21St Ave Ofc 1
Gary, IN 46407-2618

Mailing address

308 E 21St Ave Ofc 1
Gary, IN 46407-2618
Phone (219) 802-4285

Other names 1

  • HisHealingHands Llc Former legal business name

National Provider Directory

National Provider Directory

Locations

308 E 21st Ave
Ofc 1
Gary, IN 46407

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1073377313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 21ST AVE OFC 1",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072618",
            "telephone_number": "219-802-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 21ST AVE OFC 1",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464072618",
            "telephone_number": "121-980-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISHEALINGHANDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "EDMOND",
        "authorized_official_first_name": "SHONTA",
        "authorized_official_middle_name": "SHNORA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "219-802-4285"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HisHealingHands Llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gary, IN

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.