Provider Demographics
NPI:1497226427
Name:HELPING HANDS HOME SERVICES, LLC
Entity Type:Organization
Organization Name:HELPING HANDS HOME SERVICES, LLC
Other - Org Name:HELPING HANDS HOME SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAUGHTRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-590-6250
Mailing Address - Street 1:514 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-3222
Mailing Address - Country:US
Mailing Address - Phone:912-590-6250
Mailing Address - Fax:912-590-6251
Practice Address - Street 1:542194 US HIGHWAY 1 STE 122
Practice Address - Street 2:
Practice Address - City:CALLAHAN
Practice Address - State:FL
Practice Address - Zip Code:32011-8109
Practice Address - Country:US
Practice Address - Phone:904-580-0657
Practice Address - Fax:912-590-6251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HELPING HANDS HOME SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-17
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003230542BMedicaid
FL106403000Medicaid
GA003230542AMedicaid