Healthcare Provider Details

I. General information

NPI: 1386976520
Provider Name (Legal Business Name): HELPING HANDS CAREGIVERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2010
Last Update Date: 02/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 S JACKSON ST
GREEN BAY WI
54301-3969
US

IV. Provider business mailing address

443 S JACKSON ST
GREEN BAY WI
54301-3969
US

V. Phone/Fax

Practice location:
  • Phone: 920-327-0303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number164214030
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YING LACOURT
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: RN
Phone: 920-327-0303