Provider Demographics
NPI:1316230311
Name:FABULOUS CARING HELPING HANDS HOMECARE LLC
Entity Type:Organization
Organization Name:FABULOUS CARING HELPING HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHARA
Authorized Official - Middle Name:LASHAWN
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-701-3017
Mailing Address - Street 1:12600 ROCKSIDE RD STE 133
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-4525
Mailing Address - Country:US
Mailing Address - Phone:216-701-3017
Mailing Address - Fax:
Practice Address - Street 1:12600 ROCKSIDE RD STE 133
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-4525
Practice Address - Country:US
Practice Address - Phone:216-701-3017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1948346251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health