Provider Demographics
NPI:1700052073
Name:MOMMA'S HELPER, LLC
Entity Type:Organization
Organization Name:MOMMA'S HELPER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BILLOPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-736-5315
Mailing Address - Street 1:2900 GORDON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-0718
Mailing Address - Country:US
Mailing Address - Phone:408-736-5315
Mailing Address - Fax:866-264-4891
Practice Address - Street 1:2900 GORDON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-0718
Practice Address - Country:US
Practice Address - Phone:408-736-5315
Practice Address - Fax:866-264-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health