Provider Demographics
NPI:1124591862
Name:SHELIA'S HELPING HANDS LLC
Entity Type:Organization
Organization Name:SHELIA'S HELPING HANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:GLENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-587-1008
Mailing Address - Street 1:2052 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3731
Mailing Address - Country:US
Mailing Address - Phone:803-490-3076
Mailing Address - Fax:
Practice Address - Street 1:19 EASTBOURNE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6711
Practice Address - Country:US
Practice Address - Phone:803-587-1008
Practice Address - Fax:803-788-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-04
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2018-56047-54941Medicaid