MEDICARE: HELPING HANDS AND HEARTS HOSPICE

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	251G00000X	Community Based Hospice Care Agency	008168	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HH009C	OTHER	TX	CONTRACT- BCBS
3	7849504	OTHER	TX	CONTRACT- AETNA

General Provider Information

NPI Number	:	1215936869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS AND HEARTS HOSPICE

Provider Business Mailing Address
First Line	:	103 CIRCLE WAY ST STE 100
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5233
Country	:	US
Telephone Number	:	979-297-3775
Fax Number	:	979-297-2774

Provider Business Practice Location Address
First Line	:	103 CIRCLE WAY ST STE 100
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5233
Country	:	US
Telephone Number	:	979-297-3775
Fax Number	:	979-297-2774

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. SHERWYN D MOORE
Credential	:	LVN
Telephone Number	:	979-297-3775

Provider Enumeration Date	:	07/16/2005
Last Update Date	:	08/25/2014

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Directions to “HELPING HANDS AND HEARTS HOSPICE ” Practice Location

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