Provider Demographics
NPI:1598463697
Name:HELPING HANDS CARE SERVICE LLC
Entity Type:Organization
Organization Name:HELPING HANDS CARE SERVICE LLC
Other - Org Name:HELPING HANDS CARE SERVICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEDRA
Authorized Official - Middle Name:LAVON
Authorized Official - Last Name:HARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-541-7035
Mailing Address - Street 1:111 PINE HVN
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-2820
Mailing Address - Country:US
Mailing Address - Phone:803-541-7035
Mailing Address - Fax:803-219-7005
Practice Address - Street 1:111 PINE HVN
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-2820
Practice Address - Country:US
Practice Address - Phone:803-541-7035
Practice Address - Fax:803-219-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC253Z00000XOtherHOME HEALTH CARE