=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154482412
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS HELPING HANDS, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 116 E 3RD ST
-----------------------------------------------------
City | MT PLEASANT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75455-4017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-572-4280
-----------------------------------------------------
Fax | 903-572-6133
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 116 E 3RD ST
-----------------------------------------------------
City | MT PLEASANT
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75455-4017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 903-572-4280
-----------------------------------------------------
Fax | 903-572-6133
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASSISTANT ADMINISTRATOR
-----------------------------------------------------
Name | MOLLIE SIMONS MEANS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 903-572-4280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 003819
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------