NPI Code Details Logo

NPI 1174846448

NPI 1174846448 : HELPING HANDS OF MARTIN COUNTY : LOOGOOTEE, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1174846448
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HELPING HANDS OF MARTIN COUNTY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/01/2010
-----------------------------------------------------
    Last Update Date     |    11/22/2011
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    211 CEDAR ST APT 13 
-----------------------------------------------------
    City                 |    LOOGOOTEE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47553-2446
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-259-0543
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    211 CEDAR ST APT 13 
-----------------------------------------------------
    City                 |    LOOGOOTEE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47553-2446
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-259-0543
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    HEALTH CARE ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MR. JESSE RENE DENNY 
-----------------------------------------------------
    Credential           |    B.S.
-----------------------------------------------------
    Telephone            |    812-259-0543
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251V00000X
-----------------------------------------------------
    Taxonomy Name        |    Voluntary or Charitable Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.