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NPI Code Detail

MEDICARE: GUIDING HANDS LIVING SUPPORT SERVICES LLC

MEDICARE: GUIDING HANDS LIVING SUPPORT 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
1146D00000XPersonal Emergency Response Attendant
2251B00000XCase Management Agency
3251C00000XDevelopmentally Disabled Services Day Training Agency
4251G00000XCommunity Based Hospice Care Agency
5252Y00000XEarly Intervention Provider Agency
6253Z00000XIn Home Supportive Care Agency
7302F00000XExclusive Provider Organization
8302R00000XHealth Maintenance Organization
9305R00000XPreferred Provider Organization
10347C00000XPrivate Vehicle
11385H00000XRespite Care
12385HR2050XRespite Care Camp
13251E00000XHome Health Agency

General Provider Information

NPI Number : 1700681186
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUIDING HANDS LIVING SUPPORT SERVICES LLC
Provider Business Mailing Address
First Line : 2028 PRAIRIE AVE
Second Line :
City : BELOIT
State : WI
Zip : 53511-3136
Country : US
Telephone Number : 503-979-3659
Fax Number :
Provider Business Practice Location Address
First Line : 2028 PRAIRIE AVE
Second Line :
City : BELOIT
State : WI
Zip : 53511-3136
Country : US
Telephone Number : 503-979-3659
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JULIA K CVICKER
Credential :
Telephone Number : 503-979-3659
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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