Provider Demographics
NPI:1518619014
Name:HANDS ON HANDS CONGREGATE LIVING LLC
Entity Type:Organization
Organization Name:HANDS ON HANDS CONGREGATE LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ-LUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-395-0517
Mailing Address - Street 1:4415 LA GRANADA WAY
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-2908
Mailing Address - Country:US
Mailing Address - Phone:818-395-0517
Mailing Address - Fax:
Practice Address - Street 1:13880 PROCTOR AVE
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-2529
Practice Address - Country:US
Practice Address - Phone:818-395-0517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility