Provider Demographics
NPI:1487321949
Name:HELPING HANDS FOR HOMEMAKING AND COMPANIONSHIP LLC
Entity type:Organization
Organization Name:HELPING HANDS FOR HOMEMAKING AND COMPANIONSHIP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HATTIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-983-6111
Mailing Address - Street 1:3049 CLEVELAND AVE STE 261
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-7047
Mailing Address - Country:US
Mailing Address - Phone:786-474-7494
Mailing Address - Fax:
Practice Address - Street 1:3049 CLEVELAND AVE STE 261
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-7047
Practice Address - Country:US
Practice Address - Phone:786-474-7494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELPING HANDS FOR HOMEMAKING AND COMPANIONSHIP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023905501Medicaid