Provider Demographics
NPI:1326415076
Name:HELPING HANDS OF NORTH FLORIDA, INC.
Entity Type:Organization
Organization Name:HELPING HANDS OF NORTH FLORIDA, INC.
Other - Org Name:SENIOR SUPPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VERDA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, MSW, RCSWI
Authorized Official - Phone:850-597-7865
Mailing Address - Street 1:355 MINE RD
Mailing Address - Street 2:355 MINE RD
Mailing Address - City:MIDWAY
Mailing Address - State:FL
Mailing Address - Zip Code:32343
Mailing Address - Country:US
Mailing Address - Phone:850-597-7865
Mailing Address - Fax:850-580-1017
Practice Address - Street 1:355 MINE RD
Practice Address - Street 2:355 MINE RD
Practice Address - City:MIDWAY
Practice Address - State:FL
Practice Address - Zip Code:32343
Practice Address - Country:US
Practice Address - Phone:850-597-7865
Practice Address - Fax:850-580-1017
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELPING HANDS OF NORTH FLORIDA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-28
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108397300Medicaid