Healthcare Provider Details

I. General information

NPI: 1871073213
Provider Name (Legal Business Name): HELPFUL HANDS COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1712 KINGSLEY AVE STE 1
ORANGE PARK FL
32073-4454
US

IV. Provider business mailing address

1730 KINGSLEY AVE STE G
ORANGE PARK FL
32073-4417
US

V. Phone/Fax

Practice location:
  • Phone: 904-397-3405
  • Fax:
Mailing address:
  • Phone: 904-397-3405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIA FAYE PARKER
Title or Position: OWNER
Credential:
Phone: 904-397-3405