1619111317 NPI number — HELPING HANDS HOUSING & DEVELOPMENTAL SERVICES AGENCY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619111317 NPI number — HELPING HANDS HOUSING & DEVELOPMENTAL SERVICES AGENCY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS HOUSING & DEVELOPMENTAL SERVICES AGENCY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619111317
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3617 CROWN POINT ROAD
Provider Second Line Business Mailing Address:
SUITE 8
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32257-9010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-303-4501
Provider Business Mailing Address Fax Number:
904-619-0377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12335 STOCKBRIDGE CT S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32258-1203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-993-3866
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2009

Additional Information

Authorized Official

Authorized Official Last Name:
GONZALEZ
Authorized Official First Name:
GUIDO
Authorized Official Middle Name:
ANIBAL
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
904-993-3866

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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