Healthcare Provider Details

I. General information

NPI: 1861003055
Provider Name (Legal Business Name): A HELPING HEART & HAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2020
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CENTURY 21 DR STE 213
JACKSONVILLE FL
32216-9295
US

IV. Provider business mailing address

103 CENTURY 21 DR STE 213
JACKSONVILLE FL
32216-9295
US

V. Phone/Fax

Practice location:
  • Phone: 904-438-8590
  • Fax: 904-830-0809
Mailing address:
  • Phone: 904-438-8590
  • Fax: 904-830-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE WILLIAMS
Title or Position: OWNER/CEO
Credential:
Phone: 904-438-8590