Healthcare Provider Details

I. General information

NPI: 1891427829
Provider Name (Legal Business Name): EXCLUSIVE HELPING HANDS INDEPENDENT ASSISTANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2022
Last Update Date: 10/15/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 COLONEL GLENN RD APT 244
LITTLE ROCK AR
72204-7706
US

IV. Provider business mailing address

405 W 24TH ST
NORTH LITTLE ROCK AR
72114-2111
US

V. Phone/Fax

Practice location:
  • Phone: 281-662-9677
  • Fax:
Mailing address:
  • Phone: 281-662-9677
  • Fax: 281-662-9677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANISSA PERRY
Title or Position: OWNER
Credential: MA
Phone: 281-662-9677