Healthcare Provider Details

I. General information

NPI: 1093562845
Provider Name (Legal Business Name): HELPING HANDS RESPITE CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 05/01/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 W MANCHESTER AVE STE 206F
LOS ANGELES CA
90047-3057
US

IV. Provider business mailing address

4228 W 129TH ST APT B
HAWTHORNE CA
90250-5559
US

V. Phone/Fax

Practice location:
  • Phone: 323-565-8321
  • Fax:
Mailing address:
  • Phone: 424-444-8598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAMADRA EMBRY
Title or Position: OWNER
Credential:
Phone: 424-444-8598