Provider Demographics
NPI:1083881494
Name:HELPING HANDS HOME HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:HELPING HANDS HOME HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTOVETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-581-3500
Mailing Address - Street 1:2116 WILSHIRE BLVD
Mailing Address - Street 2:248
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90403-5749
Mailing Address - Country:US
Mailing Address - Phone:310-581-3500
Mailing Address - Fax:310-581-3556
Practice Address - Street 1:1504 MAIN STREET
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-3622
Practice Address - Country:US
Practice Address - Phone:310-581-3500
Practice Address - Fax:310-581-3556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-14
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001498251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059342Medicare Oscar/Certification