Healthcare Provider Details

I. General information

NPI: 1437879004
Provider Name (Legal Business Name): HELPING HANDS PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S EXECUTIVE DR # 2074
BROOKFIELD WI
53005-4216
US

IV. Provider business mailing address

1204 OAKDALE CT
WAUKESHA WI
53189-7113
US

V. Phone/Fax

Practice location:
  • Phone: 262-366-4593
  • Fax: 262-505-5094
Mailing address:
  • Phone: 262-366-4593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: DELANY VANITA GRANT
Title or Position: ADMINISTRATOR/OWNER/CEO
Credential:
Phone: 262-366-4593