=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043773666
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPFUL HANDS HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2019
-----------------------------------------------------
Last Update Date | 04/10/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 36595 N MONTALCINO ROAD
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 888-349-7262
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 36595 N MONTALCINO RD
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85262-4126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-315-7429
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | DR. MICHAEL THOMAS SHAW
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 888-349-7262
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------