Healthcare Provider Details

I. General information

NPI: 1629815444
Provider Name (Legal Business Name): HELPING HANDS HOME CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 FAIRFIELD AVE # 145
FORT WAYNE IN
46807-3400
US

IV. Provider business mailing address

5800 FAIRFIELD AVE # 145
FORT WAYNE IN
46807-3400
US

V. Phone/Fax

Practice location:
  • Phone: 260-255-1165
  • Fax:
Mailing address:
  • Phone: 260-255-1165
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SHAQUETTA WOODS
Title or Position: OWNER/CEO
Credential:
Phone: 260-797-9602