=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326700105
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPING HANDS ADULT CARE FACILITY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2021
-----------------------------------------------------
Last Update Date | 10/12/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17189 92ND LN N
-----------------------------------------------------
City | LOXAHATCHEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33470-2758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-367-6349
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17189 92ND LN N
-----------------------------------------------------
City | LOXAHATCHEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33470-2758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-367-6349
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMIN
-----------------------------------------------------
Name | MS. YASMEEN EBANKS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-367-6349
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------