Provider Demographics
NPI:1215936869
Name:HELPING HANDS AND HEARTS HOSPICE
Entity type:Organization
Organization Name:HELPING HANDS AND HEARTS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERWYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:979-297-3775
Mailing Address - Street 1:103 CIRCLE WAY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5233
Mailing Address - Country:US
Mailing Address - Phone:979-297-3775
Mailing Address - Fax:979-297-2774
Practice Address - Street 1:103 CIRCLE WAY ST STE 100
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5233
Practice Address - Country:US
Practice Address - Phone:979-297-3775
Practice Address - Fax:979-297-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-16
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008168251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001007562Medicaid
TXHH009COtherCONTRACT- BCBS
TX7849504OtherCONTRACT- AETNA
TX7849504OtherCONTRACT- AETNA