Provider Demographics
NPI:1053808782
Name:GOOD HANDS HOME CARE
Entity type:Organization
Organization Name:GOOD HANDS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZACKLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-285-1095
Mailing Address - Street 1:630 FREEDOM BUSINESS CTR DR FL 3
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1331
Mailing Address - Country:US
Mailing Address - Phone:102-851-0956
Mailing Address - Fax:215-359-0616
Practice Address - Street 1:630 FREEDOM BUSINESS CTR DR FL 3
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1331
Practice Address - Country:US
Practice Address - Phone:610-285-1095
Practice Address - Fax:215-359-0616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
34153601171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty