Provider Demographics
NPI:1154645208
Name:JIKOLE HELPING HANDS, INC.
Entity Type:Organization
Organization Name:JIKOLE HELPING HANDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHIMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-292-9941
Mailing Address - Street 1:317 E HILLCREST BLVD
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-2405
Mailing Address - Country:US
Mailing Address - Phone:310-292-9941
Mailing Address - Fax:
Practice Address - Street 1:317 E HILLCREST BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-2405
Practice Address - Country:US
Practice Address - Phone:310-292-9941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QR0405X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No302R00000XManaged Care OrganizationsHealth Maintenance Organization