MEDICARE: ASSISTING HANDS HOME HEALTH INC.

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	30211769	FL

General Provider Information

NPI Number	:	1831641943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSISTING HANDS HOME HEALTH INC.

Provider Business Mailing Address
First Line	:	1850 BOY SCOUT DR
Second Line	:	#A103
City	:	FORT MYERS
State	:	FL
Zip	:	33907-2127
Country	:	US
Telephone Number	:	239-337-4263
Fax Number	:	239-247-5151

Provider Business Practice Location Address
First Line	:	1850 BOY SCOUT DR
Second Line	:	#A103
City	:	FORT MYERS
State	:	FL
Zip	:	33907-2127
Country	:	US
Telephone Number	:	239-337-4263
Fax Number	:	239-247-5151

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ROBERT I THOMAS
Credential	:
Telephone Number	:	239-337-4263

Provider Enumeration Date	:	10/25/2016
Last Update Date	:	10/25/2016

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