MEDICARE: HELPING HANDS COMMUNITY SERVICES 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000000	OTHER		NONE

General Provider Information

NPI Number	:	1417605122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS COMMUNITY SERVICES LLC

Provider Business Mailing Address
First Line	:	800 N CENTRAL AVE APT 1225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2777
Country	:	US
Telephone Number	:	177-535-1492
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 N CENTRAL AVE APT 1225
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-2777
Country	:	US
Telephone Number	:	177-535-1492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	XAVIERA FERGUSON
Credential	:
Telephone Number	:	775-351-4926

Provider Enumeration Date	:	03/11/2022
Last Update Date	:	03/11/2022

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Directions to “HELPING HANDS COMMUNITY SERVICES LLC ” Practice Location

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