Provider Demographics
NPI:1427184712
Name:HELPING HANDS HOSPICE, INC.
Entity Type:Organization
Organization Name:HELPING HANDS HOSPICE, INC.
Other - Org Name:HOSPICE OF IMPERIAL VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:S.
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:MARRS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-352-8905
Mailing Address - Street 1:137 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2901
Mailing Address - Country:US
Mailing Address - Phone:760-352-8905
Mailing Address - Fax:760-352-0845
Practice Address - Street 1:137 S 8TH ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2901
Practice Address - Country:US
Practice Address - Phone:760-352-8905
Practice Address - Fax:760-352-0845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA080000570251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01705FMedicaid
CAHPC01705FMedicaid