- Enrollment id
- O20061208000092
- Enrollment state
- IL
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1962432021
- Multiple npi flag
- N
- Ccn
- 147727
- Associate id
- 7810996493
- Organization name
- HEALING HANDS HOME CARE, INC.
- Doing business as name
- ESSENCE MEDSPA AND WELLNESS CENTER
- Incorporation date
- 2002-03-04
- Incorporation state
- IL
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 6730 W HIGGINS AVENUE
- City
- CHICAGO
- State
- IL
- Zip code
- 606562106
- Practice location type
- HHA BRANCH