# HEAVENLY HANDS HOME CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124948708
- **Authorized official:** MRS. LATOYA GREEN RN (SERVICE SUPERVISOR, RN)
- **Authorized official phone:** (954) 604-8600

## Contact information

- **Practice address:** 4120 HILLARD LN, GREENVILLE, NC 27858-8052
- **Practice address phone:** (954) 604-8600
- **Mailing address:** 4120 HILLARD LN, GREENVILLE, NC 27858-8052
- **Mailing address phone:** (954) 604-8600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 10/13/2026
