Provider Demographics
NPI:1407128002
Name:HELPING HANDS HOME HEALTH CARE
Entity Type:Organization
Organization Name:HELPING HANDS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KANICKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-571-7204
Mailing Address - Street 1:200 WINNIE TRL
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-8346
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 WINNIE TRL
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-8346
Practice Address - Country:US
Practice Address - Phone:912-571-7204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization