MEDICARE: A HELPING HAND COMPANION SVCS,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	311Z00000X	Custodial Care Facility	231028	FL

General Provider Information

NPI Number	:	1881828630
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A HELPING HAND COMPANION SVCS,LLC

Provider Business Mailing Address
First Line	:	15522 FIORENZA CIR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3296
Country	:	US
Telephone Number	:	954-292-6217
Fax Number	:	561-499-6548

Provider Business Practice Location Address
First Line	:	15522 FIORENZA CIR
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-3296
Country	:	US
Telephone Number	:	954-292-6217
Fax Number	:	561-499-6548

Authorized Official
Title or Position	:	CFO
Name	:	MR. CARLOS ALBERTO GUTIERREZ
Credential	:
Telephone Number	:	954-292-6217

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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