Provider Demographics
NPI:1083051809
Name:HELPING HANDS HOME CARE SERVICE
Entity Type:Organization
Organization Name:HELPING HANDS HOME CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-779-0431
Mailing Address - Street 1:5154 BROWN LEAF WAY
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-8910
Mailing Address - Country:US
Mailing Address - Phone:678-402-1604
Mailing Address - Fax:678-402-1604
Practice Address - Street 1:5154 BROWN LEAF WAY
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-8910
Practice Address - Country:US
Practice Address - Phone:678-402-1604
Practice Address - Fax:678-402-1604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN078372253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care