=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265471627
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPING HANDS MEDICAL EQUIPMENT, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2006
-----------------------------------------------------
Last Update Date | 11/20/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4479 N STATE ROAD 7
-----------------------------------------------------
City | LAUDERDALE LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33319-5876
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-335-1564
-----------------------------------------------------
Fax | 954-335-1569
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4479 N STATE ROAD 7
-----------------------------------------------------
City | LAUDERDALE LAKES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33319-5876
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-335-1564
-----------------------------------------------------
Fax | 954-335-1569
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL MANAGER OWNER
-----------------------------------------------------
Name | MRS. DEBBIE L LEYVA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 954-335-1564
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 2376
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------