MEDICARE: THE HELPING HANDS AGENCY, 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558827311
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HELPING HANDS AGENCY, LLC

Provider Business Mailing Address
First Line	:	412 PENSACOLA DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2239
Country	:	US
Telephone Number	:	561-577-3713
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 PENSACOLA DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-2239
Country	:	US
Telephone Number	:	561-577-3713
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FARAH SIMEUS
Credential	:	RRT
Telephone Number	:	561-577-3713

Provider Enumeration Date	:	02/18/2019
Last Update Date	:	02/18/2019

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