Provider Demographics
NPI:1093172447
Name:MY HELPERS CARE LLC
Entity Type:Organization
Organization Name:MY HELPERS CARE LLC
Other - Org Name:SENIOR IN-HOME HELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CHAMPEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-631-7031
Mailing Address - Street 1:1132 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916
Mailing Address - Country:US
Mailing Address - Phone:920-631-7031
Mailing Address - Fax:920-631-7031
Practice Address - Street 1:1132 MADISON ST
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-2628
Practice Address - Country:US
Practice Address - Phone:920-631-7031
Practice Address - Fax:920-631-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization