MEDICARE: HELPING HANDS HOME CARE AGENCY 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1184257164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	1722 FANNIN ST
Second Line	:
City	:	COLUMBUS
State	:	TX
Zip	:	78934-2808
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 FANNIN ST
Second Line	:
City	:	COLUMBUS
State	:	TX
Zip	:	78934-2808
Country	:	US
Telephone Number	:	832-808-1269
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	STACY CARTER
Credential	:
Telephone Number	:	832-808-1269

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	02/18/2020

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