Provider Demographics
NPI:1457681462
Name:HANDS THAT CARE HOME HEALTH AGENCY, INC
Entity Type:Organization
Organization Name:HANDS THAT CARE HOME HEALTH AGENCY, INC
Other - Org Name:HANDS THAT CARE HOME HEALTH INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELENOA
Authorized Official - Middle Name:TOKARUA
Authorized Official - Last Name:TAWAKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-780-0759
Mailing Address - Street 1:98 W JACKSON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1844
Mailing Address - Country:US
Mailing Address - Phone:510-780-0759
Mailing Address - Fax:510-200-9198
Practice Address - Street 1:98 W JACKSON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1844
Practice Address - Country:US
Practice Address - Phone:510-780-0759
Practice Address - Fax:510-200-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000445251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health