MEDICARE: HELPING HANDS AT HOME SENIOR CARE INC

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	:	1205361649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS AT HOME SENIOR CARE INC

Provider Business Mailing Address
First Line	:	6 BRENDA DR
Second Line	:
City	:	JACKSONVILLE
State	:	IL
Zip	:	62650-3232
Country	:	US
Telephone Number	:	217-248-8551
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 BRENDA DR
Second Line	:
City	:	SOUTH JACKSONVILLE
State	:	IL
Zip	:	62650-3232
Country	:	US
Telephone Number	:	217-248-8551
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RENA PAREDES
Credential	:
Telephone Number	:	217-248-8551

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	04/24/2017

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