Provider Demographics
NPI:1679867451
Name:HELPING HANDS OF THE BAY AREA
Entity Type:Organization
Organization Name:HELPING HANDS OF THE BAY AREA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVERNA
Authorized Official - Middle Name:DOROTHY
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:218-316-2724
Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-0661
Mailing Address - Country:US
Mailing Address - Phone:832-425-9830
Mailing Address - Fax:
Practice Address - Street 1:213 W SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-3831
Practice Address - Country:US
Practice Address - Phone:832-425-9830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX102917253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care