MEDICARE: HELPING HAND ASSISTED HOME CARE 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	310400000X	Assisted Living Facility	L07000119629	FL

General Provider Information

NPI Number	:	1326210089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HAND ASSISTED HOME CARE LLC

Provider Business Mailing Address
First Line	:	4406 SW 129TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175
Country	:	US
Telephone Number	:	305-978-8439
Fax Number	:	305-551-6432

Provider Business Practice Location Address
First Line	:	4406 SW 129TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175
Country	:	US
Telephone Number	:	305-978-8439
Fax Number	:	305-551-6432

Authorized Official
Title or Position	:	ADMINISTRATOR OWNER
Name	:	MRS. JANICE ELAINE MEJIA
Credential	:
Telephone Number	:	305-978-8439

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	07/10/2008

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