Healthcare Provider Details
I. General information
NPI: 1295365096
Provider Name (Legal Business Name): HELPING HANDS HOME & HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2020
Last Update Date: 04/14/2020
Certification Date: 04/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5124 WISTFUL VISTA DR
WEST DES MOINES IA
50265-6924
US
IV. Provider business mailing address
5124 WISTFUL VISTA DR
WEST DES MOINES IA
50265-6924
US
V. Phone/Fax
- Phone: 515-441-1281
- Fax:
- Phone: 515-441-1281
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROCHELLE
AND
HARBERT
Title or Position: PHYSICAL THERAPIST/OWNER
Credential:
Phone: 515-441-1281