MEDICARE: HELPING HANDS ADULT DAY CARE, 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1669719894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS ADULT DAY CARE, LLC

Provider Business Mailing Address
First Line	:	9405 121ST ST
Second Line	:	1 FLOOR
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1311
Country	:	US
Telephone Number	:	347-975-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	9405 121ST ST
Second Line	:	1 FLOOR
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1311
Country	:	US
Telephone Number	:	347-975-2525
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NATERAM SHIVPAL
Credential	:
Telephone Number	:	347-975-2525

Provider Enumeration Date	:	01/08/2013
Last Update Date	:	01/08/2013

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