Provider Demographics
NPI:1467992743
Name:HOUSE OF HELPING HANDS GROUP HOME LLC
Entity Type:Organization
Organization Name:HOUSE OF HELPING HANDS GROUP HOME LLC
Other - Org Name:GROUP HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:JEFFRIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-409-1271
Mailing Address - Street 1:2808 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-3209
Mailing Address - Country:US
Mailing Address - Phone:352-409-1271
Mailing Address - Fax:352-360-0024
Practice Address - Street 1:2808 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-3209
Practice Address - Country:US
Practice Address - Phone:352-409-1271
Practice Address - Fax:352-360-0024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL253Z00000X, 311ZA0620X
FL261QA0600X261QA0600X
FL347OOOOOX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347C00000XTransportation ServicesPrivate Vehicle