1437428315 NPI number — HANDS IN MOTION 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 1437428315 NPI number — HANDS IN MOTION LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS IN MOTION 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:
1437428315
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8941 SANTA MARGARITA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VENTURA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93004-3003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-794-1849
Provider Business Mailing Address Fax Number:
805-647-8808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 PETIT AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93004-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-647-8800
Provider Business Practice Location Address Fax Number:
805-647-8808
Provider Enumeration Date:
12/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
LUCKETT30-7004906
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
ADMINISTRATOR PARTNER
Authorized Official Telephone Number:
805-570-0306

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  OT5460 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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