Organization Active NPI

Healing Hands Homecare LLC

  • In Home Supportive Care Agency
  • Hattiesburg, MS
National Provider Identifier
1265723118
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
R867038 Issued in MS
Legal business name
HEALING HANDS HOMECARE LLC
Practice address
704 Walnut St
704 Walnut Street
Hattiesburg, MS 39401-4374
Phone
(601) 307-2087
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Jennifer Nikki Cooper, RN
Title
Owner
Phone
(601) 307-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X R867038 MS Primary

Addresses

Primary practice location

704 Walnut St
704 Walnut Street
Hattiesburg, MS 39401-4374

Mailing address

704 Walnut St
704 Walnut Street
Hattiesburg, MS 39401-4374
Phone (601) 307-2087

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1265723118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 WALNUT ST",
            "address_2": "704 WALNUT STREET",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014374",
            "telephone_number": "601-307-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WALNUT ST",
            "address_2": "704 WALNUT STREET",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014374",
            "telephone_number": "601-307-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "NIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-307-2087",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": "R867038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.