Provider Demographics
NPI:1598067399
Name:HELPING HANDS SENIOR CARE, LLC
Entity Type:Organization
Organization Name:HELPING HANDS SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-677-5573
Mailing Address - Street 1:9552 TREYBURN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-6888
Mailing Address - Country:US
Mailing Address - Phone:317-757-6461
Mailing Address - Fax:317-292-9665
Practice Address - Street 1:9552 TREYBURN LAKES DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-6888
Practice Address - Country:US
Practice Address - Phone:317-757-6461
Practice Address - Fax:317-292-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN100122971253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care