Healthcare Provider Details

I. General information

NPI: 1093588386
Provider Name (Legal Business Name): MOMMY'S HELPER POSTPARTUM IN HOME HELP SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 07/23/2024
Certification Date: 12/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5614 N FRESNO ST STE 111
FRESNO CA
93710-6034
US

IV. Provider business mailing address

5614 N FRESNO ST STE 111
FRESNO CA
93710-6034
US

V. Phone/Fax

Practice location:
  • Phone: 559-578-0306
  • Fax:
Mailing address:
  • Phone: 559-578-0306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: JOEVONNA BONNER
Title or Position: FOUNDER
Credential:
Phone: 832-836-6326