Healthcare Provider Details

I. General information

NPI: 1497176036
Provider Name (Legal Business Name): HELPERS IN HEELS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2013
Last Update Date: 12/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 INTERNATIONAL PKWY SUITE 2000
LAKE MARY FL
32746-5096
US

IV. Provider business mailing address

1540 INTERNATIONAL PKWY SUITE 2000
LAKE MARY FL
32746-5096
US

V. Phone/Fax

Practice location:
  • Phone: 407-408-2877
  • Fax:
Mailing address:
  • Phone: 407-408-2877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number233177
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number233177
License Number StateFL

VIII. Authorized Official

Name: LESLIE LEVY
Title or Position: CEO
Credential:
Phone: 407-408-2877