=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508440355
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELPING HANDS HOME HEALTH CARE SERVICE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2021
-----------------------------------------------------
Last Update Date | 05/07/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 460 WILL RICHARDSON RD
-----------------------------------------------------
City | ENFIELD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27823-9275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-903-7961
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 460 WILL RICHARDSON RD
-----------------------------------------------------
City | ENFIELD
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27823-9275
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-903-7961
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. KATHY ANITA DAVIS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 252-903-7961
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------