MEDICARE: HELPING HANDS HOME CARE SERVICES

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	3747P1801X	Personal Care Attendant
2	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1629815444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	5800 FAIRFIELD AVE # 145
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46807-3400
Country	:	US
Telephone Number	:	260-255-1165
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 FAIRFIELD AVE # 145
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46807-3400
Country	:	US
Telephone Number	:	260-255-1165
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	SHAQUETTA WOODS
Credential	:
Telephone Number	:	260-797-9602

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/10/2024

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Directions to “HELPING HANDS HOME CARE SERVICES ” Practice Location

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