Healthcare Provider Details

I. General information

NPI: 1689825887
Provider Name (Legal Business Name): GOD'S HELPING HANDS PERSONAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3906 W 86TH ST
INDIANAPOLIS IN
46268-1701
US

IV. Provider business mailing address

3906 W 86TH ST
INDIANAPOLIS IN
46268-1701
US

V. Phone/Fax

Practice location:
  • Phone: 317-295-8727
  • Fax: 317-295-8722
Mailing address:
  • Phone: 231-295-8727
  • Fax: 317-295-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number08011588
License Number StateIN

VIII. Authorized Official

Name: KENYATTA MITCHELL
Title or Position: OWNER
Credential:
Phone: 317-295-8727