Provider Demographics
NPI:1689167926
Name:HELPING HANDS OUTREACH
Entity Type:Organization
Organization Name:HELPING HANDS OUTREACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-746-9960
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:HOLDINGFORD
Mailing Address - State:MN
Mailing Address - Zip Code:56340-0293
Mailing Address - Country:US
Mailing Address - Phone:320-746-9960
Mailing Address - Fax:320-746-8132
Practice Address - Street 1:101 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:HOLDINGFORD
Practice Address - State:MN
Practice Address - Zip Code:56340
Practice Address - Country:US
Practice Address - Phone:320-746-9960
Practice Address - Fax:320-746-8132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1071159253Z00000X
MN1077402261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNM993108200OtherUMPI