Healthcare Provider Details

I. General information

NPI: 1720738875
Provider Name (Legal Business Name): CISCO HELPING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022
Certification Date: 03/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18701 NW 8TH CT
MIAMI FL
33169-3819
US

IV. Provider business mailing address

6228 CLEVELAND ST
HOLLYWOOD FL
33024-5957
US

V. Phone/Fax

Practice location:
  • Phone: 754-252-3087
  • Fax:
Mailing address:
  • Phone: 754-252-3087
  • 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: FRANCISCO ERIC REGIS JR.
Title or Position: CEO
Credential:
Phone: 754-252-3087