Healthcare Provider Details
I. General information
NPI: 1952605487
Provider Name (Legal Business Name): HELPING HANDS HOME HEALTHCARE SVC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/24/2010
Last Update Date: 12/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
380 DELANE DR
DALLAS GA
30157-3811
US
IV. Provider business mailing address
380 DELANE DR
DALLAS GA
30157-3811
US
V. Phone/Fax
- Phone: 678-401-7888
- Fax: 206-339-6438
- Phone: 678-401-7888
- Fax: 206-339-6438
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEBARA
VINSOS
Title or Position: DIRECTOR
Credential:
Phone: 678-401-7888