Healthcare Provider Details

I. General information

NPI: 1255635074
Provider Name (Legal Business Name): HELPING HANDS LLC (RESPITE CARE)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2011
Last Update Date: 12/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12266 ASHLEY DR
GULFPORT MS
39503-2759
US

IV. Provider business mailing address

12266 ASHLEY DR
GULFPORT MS
39503-2759
US

V. Phone/Fax

Practice location:
  • Phone: 228-539-0177
  • Fax:
Mailing address:
  • Phone: 888-590-9446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number6373
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number6373
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number6373
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number6373
License Number StateMS

VIII. Authorized Official

Name: MS. PERKELA BURCHETT
Title or Position: OWNER/OPERATOR
Credential:
Phone: 228-860-8967