Organization Active NPI

Healing Hands Healthcare

  • Primary Care Clinic/Center
  • Corinth, MS
National Provider Identifier
1740059161
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HEALING HANDS HEALTHCARE
Practice address
304 S Parkway St
Corinth, MS 38834-5913
Phone
(662) 279-1056
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Ms. Tiffany Sophia Bennett, FNPNPI 1134785769
Title
Family Nurse Practitioner
Phone
(662) 279-1056

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

304 S Parkway St
Corinth, MS 38834-5913

Mailing address

304 S Parkway St
Corinth, MS 38834-5913
Phone (662) 279-1056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240213000158 MS Part B Supplier - Clinic/Group Practice 4587007984 Receives reassigned benefits from 1 practitioner
Practice locations: Corinth, MS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2297435Healing Hands Healthcare, LLC304 S Parkway St, Corinth, MS 38834Certificate of waiverJan 16, 2028

National Provider Directory

National Provider Directory

Locations

304 S Parkway St
Corinth, MS 38834
Phone (662) 279-1056

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1740059161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S PARKWAY ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345913",
            "telephone_number": "662-279-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S PARKWAY ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345913",
            "telephone_number": "662-279-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-279-1056",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.