Provider Demographics
NPI:1043580863
Name:HELPING HANDS HOMEMAKER AGENCY,INC.
Entity Type:Organization
Organization Name:HELPING HANDS HOMEMAKER AGENCY,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:MADISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-845-5827
Mailing Address - Street 1:485 MCLIN CIR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-7939
Mailing Address - Country:US
Mailing Address - Phone:601-845-5827
Mailing Address - Fax:
Practice Address - Street 1:485 MCLIN CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-7939
Practice Address - Country:US
Practice Address - Phone:601-845-5827
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00770594Medicaid
MS00770423Medicaid