1497427397 NPI number — HELPING HANDS AT HOME 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 1497427397 NPI number — HELPING HANDS AT HOME LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS AT HOME 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:
1497427397
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
136 MARKET PLACE CIRCLE SUITE B #193
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CALERA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-358-5690
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
464 HIGHWAY 219
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTEVALLO
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35115-7128
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-358-5690
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/29/2021

Additional Information

Authorized Official

Authorized Official Last Name:
BURTON
Authorized Official First Name:
TASHA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/HOME CARE MANAGER
Authorized Official Telephone Number:
205-358-5690

Provider Taxonomy Codes

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

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

  • Identifier: 118328427 . This is a "HOMEMAKING/ PERSONAL CARE SERVICE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 118328427 . This is a "HOME CARE SERVICES" identifier . This identifiers is of the category "OTHER".




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