Healthcare Provider Details

I. General information

NPI: 1609366947
Provider Name (Legal Business Name): HELPING HANDS FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2018
Last Update Date: 08/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 NW 13TH ST
OKLAHOMA CITY OK
73106
US

IV. Provider business mailing address

1300 NW 103RD ST
OKLAHOMA CITY OK
73114-5006
US

V. Phone/Fax

Practice location:
  • Phone: 405-204-7813
  • Fax: 405-286-6263
Mailing address:
  • Phone: 405-204-7813
  • Fax: 405-286-6263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number4997
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number4997
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number4997
License Number StateOK

VIII. Authorized Official

Name: UGANDA T RICHARDSON
Title or Position: OWNER
Credential: BSW, LCSW
Phone: 405-286-6263