NPIMap

Organization Active NPI

Healing Hands Ministries Inc.

Doing business as Healing Hands Ministries Vickery

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
National Provider Identifier
1427568658
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALING HANDS MINISTRIES INC.
Doing business as
Healing Hands Ministries Vickery
Practice address
5750 Pineland Dr # 150
Dallas, TX 75231
Phone
(214) 379-4393
Fax
(214) 710-1303
NPI assigned
Oct 2, 2017
Last updated
Jun 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
Janna R Gardner
Title
Ceo and President
Phone
(214) 221-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

5750 Pineland Dr # 150
Dallas, TX 75231

Mailing address

8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone (214) 221-0855

Other practice location 1

8515 Greenville Ave Ste N108
Dallas, TX 75243-7035
Phone (214) 221-0855 ext. 128

Other identifiers 1

IdentifierTypeStateIssuer
332303404MedicaidTX

Other names 1

  • Healing Hands Ministries Vickery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180725002074 TX Part A Provider - Federally Qualified Health Center (FQHC) 8527289339 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427568658. Details of each certification follow.

Federally qualified health center certification: CCN 451021

Legal name
HEALING HANDS MINISTRIES INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2018
Last certification
Oct 20, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2006 in TX
Enrollment address
5750 Pineland Dr
Ste 150
Dallas, TX 75231-5300

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Healing Hands Ministries Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

5750 Pineland Dr
Ste 150
Dallas, TX 75231
Phone 21422108552034

5750 Pineland Dr
Ste 240
Dallas, TX 75231
Phone (469) 637-2777

5750 Pineland Dr
Ste 260
Dallas, TX 75231
Phone 2142210855128

8335 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 221-0885

919 E Jefferson Blvd
Dallas, TX 75203

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian a Hawkins Individual Corporate Director May 3, 2021
W-2 Managing EmployeeCeo & President May 3, 2021

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1427568658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 GREENVILLE AVE STE N108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752437035",
            "telephone_number": "214-221-0855",
            "fax_number": "214-710-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 PINELAND DR # 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-379-4393",
            "fax_number": "214-710-1303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8515 Greenville Ave Ste N108",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752437035",
            "country_code": "US",
            "telephone_number": "214-221-0855 x128",
            "fax_number": "214-710-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HANDS MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "214-221-0855"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332303404",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hands Ministries Vickery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.