Healthcare Provider Details
I. General information
NPI: 1538734553
Provider Name (Legal Business Name): HANDICAP SAFETY GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2021
Last Update Date: 05/21/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26 A NORRE GADE KINGS QUARTER
ST THOMAS VI
00802-2510
US
IV. Provider business mailing address
PO BOX 10678
ST THOMAS VI
00801-3678
US
V. Phone/Fax
- Phone: 340-998-4478
- Fax: 305-402-0587
- Phone: 340-998-4478
- Fax: 305-402-0587
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332U00000X |
| Taxonomy | Home Delivered Meals |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUDY
BEAUSOLIEEL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 340-998-4478