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NPI Code Detail

MEDICARE: MOMMY'S HELPER POSTPARTUM IN HOME HELP SERVICE LLC

MEDICARE: MOMMY'S HELPER POSTPARTUM IN HOME HELP SERVICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2172V00000XCommunity Health Worker
3374J00000XDoula

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093588386
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMMY'S HELPER POSTPARTUM IN HOME HELP SERVICE LLC
Provider Business Mailing Address
First Line : 5614 N FRESNO ST STE 111
Second Line :
City : FRESNO
State : CA
Zip : 93710-6034
Country : US
Telephone Number : 559-578-0306
Fax Number :
Provider Business Practice Location Address
First Line : 5614 N FRESNO ST STE 111
Second Line :
City : FRESNO
State : CA
Zip : 93710-6034
Country : US
Telephone Number : 559-578-0306
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : JOEVONNA BONNER
Credential :
Telephone Number : 832-836-6326
Provider Enumeration Date : 10/30/2023
Last Update Date : 07/23/2024

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Practice Location Address:
5614 N FRESNO ST STE 111
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93710-6034
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1922862051 — MRS. MELISSA JEAN GRABLE
Practice Location Address:
5614 N FRESNO ST STE 110
FRESNO, CA
93710-6034
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1760224240 — MARIBEL BARRAGAN PH.D.
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1265235493 — NATSUMI GOISHI
Practice Location Address:
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Directions to “MOMMY'S HELPER POSTPARTUM IN HOME HELP SERVICE LLC ” Practice Location

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