Provider Demographics
NPI:1528342490
Name:HEARTS OF HELPING HANDS
Entity type:Organization
Organization Name:HEARTS OF HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY MENTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:702-797-0546
Mailing Address - Street 1:5420 N. GREENLEY GARDENS ST.
Mailing Address - Street 2:
Mailing Address - City:N.LASVEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89081
Mailing Address - Country:US
Mailing Address - Phone:702-778-8922
Mailing Address - Fax:702-778-8789
Practice Address - Street 1:800 N. RAINBOW BLVD.
Practice Address - Street 2:SIUTE 148
Practice Address - City:LASVEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107
Practice Address - Country:US
Practice Address - Phone:702-778-8922
Practice Address - Fax:702-778-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2600399991302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization