MEDICARE: HELPING HANDS HOMEMAKER & COMPANION SERVICES OF ORLANDO 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	233037	FL

General Provider Information

NPI Number	:	1245572189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS HOMEMAKER & COMPANION SERVICES OF ORLANDO LLC

Provider Business Mailing Address
First Line	:	4355 PEMBRIDGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4204
Country	:	US
Telephone Number	:	407-601-9225
Fax Number	:

Provider Business Practice Location Address
First Line	:	4355 PEMBRIDGE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4204
Country	:	US
Telephone Number	:	407-601-9225
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. VENERA PRICE
Credential	:
Telephone Number	:	407-601-9225

Provider Enumeration Date	:	03/19/2013
Last Update Date	:	06/19/2013

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