Healthcare Provider Details

I. General information

NPI: 1487225769
Provider Name (Legal Business Name): HANDS THAT HELP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4378 CHARLTON AVE
HEMET CA
92544-7859
US

IV. Provider business mailing address

4378 CHARLTON AVE
HEMET CA
92544-7859
US

V. Phone/Fax

Practice location:
  • Phone: 619-723-9899
  • Fax:
Mailing address:
  • Phone: 619-723-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAWNIQUA DAVIS
Title or Position: CEO
Credential:
Phone: 619-723-9899