MEDICARE: GUIDING HANDS SUPPORT SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1356205421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING HANDS SUPPORT SERVICES LLC

Provider Business Mailing Address
First Line	:	14-20 PROSPECT ST APT 304
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-2240
Country	:	US
Telephone Number	:	862-400-2574
Fax Number	:

Provider Business Practice Location Address
First Line	:	14-20 PROSPECT ST APT 304
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07017-2240
Country	:	US
Telephone Number	:	862-400-2574
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	KRYSTAL ANNIE DE LA CRUZ
Credential	:
Telephone Number	:	862-400-2574

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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