Hands to Healing,LLC
Organization Active NPI Family Medicine Physician · Florence, MS
NPI 1649923707 · NPPES record last updated Jan 30, 2022
Key facts
- NPI
- 1649923707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- HANDS TO HEALING,LLC
- Practice address
- 147 Shenandoah Dr
Florence, MS 39073-9713 - Phone
- (601) 502-7160
- NPI assigned
- Jan 30, 2022
- Organization subpart
- No
Authorized official
- Name
- Elizabeth R McCord, NP
- Title
- Nurse Practitioner
- Phone
- (601) 502-7160
Practitioners 5
-
Amy Catherine Hooker, FNP-C
-
Elizabeth McCord, FNP-C SANE-A SANE-P
-
Shirley Marie Boothe, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230420002845 | MS | Part B Supplier - Clinic/Group Practice | 4183089444 |
Receives reassigned benefits from 4 practitioners Practice locations: Pearl, MS |
National Provider Directory
Locations
3823 Highway 80 E
Pearl, MS 39208
3823 Highway 80 E
Ste 200
Pearl, MS 39208
Phone (769) 223-3261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
147 Shenandoah Dr
Florence, MS 39073-9713
Mailing address
147 Shenandoah Dr
Florence, MS 39073-9713
Phone (601) 502-7160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03288269 | Medicaid | MS |
Other names
- Family First Healthcare
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hands2healing21@gmail.com | Direct |
Other providers in Florence, MS
- Florence Rehabilitation Center,Inc.
- Margo Wilson Garrett
- Fredna Leigh Georgen
- Golden Hearts Home Health LLC
- Desmond Hall
- Amy M Hazlewood
- Helping Hands Homemaker Agency,Inc.
- Helping Handz Transit
- Brian Matthew Hendley
- Pamela Ann Hervey
All providers in Florence, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.