Healthcare Provider Details

I. General information

NPI: 1740837111
Provider Name (Legal Business Name): ASHLEY'S HELPING HANDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2019
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 W ROOT ST
CHICAGO IL
60609-2630
US

IV. Provider business mailing address

610 W ROOT ST
CHICAGO IL
60609-2630
US

V. Phone/Fax

Practice location:
  • Phone: 312-786-9297
  • Fax: 312-786-9298
Mailing address:
  • Phone: 312-786-9297
  • Fax: 312-786-9298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. FELIX ANDERSON JR.
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 312-786-9297