Provider Demographics
NPI:1669841540
Name:HOLDING HANDS LLC DBA HOME HELPERS
Entity Type:Organization
Organization Name:HOLDING HANDS LLC DBA HOME HELPERS
Other - Org Name:SPIRIT OF LOVE LLC DBA HOME HELPERS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROYLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:BEADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-640-0701
Mailing Address - Street 1:7942 W. BELL RD. STE. C5-272
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308
Mailing Address - Country:US
Mailing Address - Phone:623-640-0701
Mailing Address - Fax:623-218-5811
Practice Address - Street 1:6501 E GREENWAY PKWY
Practice Address - Street 2:SUITE 103-241
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2025
Practice Address - Country:US
Practice Address - Phone:480-247-7105
Practice Address - Fax:623-218-5811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLDING HANDS LLC DBA HOME HELPERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-09-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ430030Medicaid