1619042330 NPI number — HELPING HANDS HEALTHCARE SERVICES LLC

Table of content: (NPI 1619042330)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619042330 NPI number — HELPING HANDS HEALTHCARE SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELPING HANDS HEALTHCARE SERVICES 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:
1619042330
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1207
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROSELAND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70456-1207
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-612-0760
Provider Business Mailing Address Fax Number:
225-612-5937

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
62502 COMMERCIAL AVE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
ROSELAND
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-612-0760
Provider Business Practice Location Address Fax Number:
225-612-5937
Provider Enumeration Date:
11/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LEWIS
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
225-612-0760

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X , with the licence number:  36034696K , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1706264 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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