Healthcare Provider Details

I. General information

NPI: 1205143021
Provider Name (Legal Business Name): HELPING HANDS HEALTHCARE AGENCY OF PA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 09/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W UNION ST SUITE 200
KINGSTON PA
18704-3808
US

IV. Provider business mailing address

100 W UNION ST SUITE 200
KINGSTON PA
18704-3808
US

V. Phone/Fax

Practice location:
  • Phone: 570-287-4110
  • Fax: 570-331-0274
Mailing address:
  • Phone: 570-287-4110
  • Fax: 570-331-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number18413601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number18413601
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number18413601
License Number StatePA

VIII. Authorized Official

Name: MIKE SERAFINI
Title or Position: PRESIDENT
Credential:
Phone: 570-287-4110