MEDICARE: HAZELS HELPING HANDS 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1811822463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAZELS HELPING HANDS LLC

Provider Business Mailing Address
First Line	:	905 CHISHOLM CV
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 CHISHOLM CV
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2906
Country	:	US
Telephone Number	:	423-314-6030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	QUINESHA GARRETT
Credential	:
Telephone Number	:	423-314-6030

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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