Healthcare Provider Details

I. General information

NPI: 1629917349
Provider Name (Legal Business Name): HELPFUL HAND ASSISTED LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1748 OMALLEY AVE
UPLAND CA
91784-1865
US

IV. Provider business mailing address

1940 COOLCREST WAY
UPLAND CA
91784-1516
US

V. Phone/Fax

Practice location:
  • Phone: 909-996-1106
  • Fax:
Mailing address:
  • Phone: 909-996-1106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MUNIZ
Title or Position: OWNER/ADMINISTRATOR
Credential: MUNIZ
Phone: 909-996-1106