Healthcare Provider Details

I. General information

NPI: 1407674518
Provider Name (Legal Business Name): HELPFUL HEARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 DAISY AVE APT C
LONG BEACH CA
90813-4035
US

IV. Provider business mailing address

803 DAISY AVE APT C
LONG BEACH CA
90813-4035
US

V. Phone/Fax

Practice location:
  • Phone: 562-607-9977
  • Fax:
Mailing address:
  • Phone: 562-607-9977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: SHATONETTE T THORNTON
Title or Position: OWNER
Credential:
Phone: 562-607-9977