1083915383 NPI number — HELPING HANDS CAREGIVERS,LLC

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 1083915383 NPI number — HELPING HANDS CAREGIVERS,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS CAREGIVERS,LLC
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:
1083915383
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9444 TWO NOTCH RD,
Provider Second Line Business Mailing Address:
SUITE C-3
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-699-1016
Provider Business Mailing Address Fax Number:
803-699-1016

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9444 TWO NOTCH RD
Provider Second Line Business Practice Location Address:
SUITE C-3
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-699-1016
Provider Business Practice Location Address Fax Number:
803-699-1016
Provider Enumeration Date:
11/03/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SNOOKS
Authorized Official First Name:
MARILYN
Authorized Official Middle Name:
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
803-699-1016

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: EX1046 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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