Provider Demographics
NPI: | 1104195320 |
---|---|
Name: | HELPING HANDS HOME HEALTH CARE AGENCY |
Entity type: | Organization |
Organization Name: | HELPING HANDS HOME HEALTH CARE AGENCY |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | ZSA |
Authorized Official - Middle Name: | ZSA |
Authorized Official - Last Name: | COUDH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PRESIDENT |
Authorized Official - Phone: | 334-538-3673 |
Mailing Address - Street 1: | 5783 CARMICHAEL PARKWAY |
Mailing Address - Street 2: | |
Mailing Address - City: | MONTGOMERY |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 36117-2300 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 334-538-3673 |
Mailing Address - Fax: | 334-593-3783 |
Practice Address - Street 1: | 5783 CARMICHAEL PKWY |
Practice Address - Street 2: | |
Practice Address - City: | MONTGOMERY |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36117-2353 |
Practice Address - Country: | US |
Practice Address - Phone: | 334-538-3673 |
Practice Address - Fax: | 334-593-3783 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-12-16 |
Last Update Date: | 2017-05-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 251E00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |