Provider Demographics
NPI:1003933250
Name:HELPING HANDS OF INDIANA COUNTY, LLC
Entity Type:Organization
Organization Name:HELPING HANDS OF INDIANA COUNTY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HOWELLS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-349-6505
Mailing Address - Street 1:650 S 13TH ST
Mailing Address - Street 2:UNIT 123, #24
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3566
Mailing Address - Country:US
Mailing Address - Phone:724-349-6505
Mailing Address - Fax:724-349-6560
Practice Address - Street 1:650 S 13TH ST
Practice Address - Street 2:UNIT 123, #24
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3566
Practice Address - Country:US
Practice Address - Phone:724-349-6505
Practice Address - Fax:724-349-6560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3302734311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012862730001Medicaid