Provider Demographics
NPI:1518366335
Name:HANDZ-ON INC.
Entity Type:Organization
Organization Name:HANDZ-ON INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:APPIAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-560-7700
Mailing Address - Street 1:191 CHESTNUT ST
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1571
Mailing Address - Country:US
Mailing Address - Phone:413-203-6356
Mailing Address - Fax:413-203-6236
Practice Address - Street 1:191 CHESTNUT ST
Practice Address - Street 2:SUITE 4D
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1571
Practice Address - Country:US
Practice Address - Phone:413-203-6356
Practice Address - Fax:413-203-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0000907251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008004126Medicaid