Provider Demographics
NPI:1700367737
Name:HELPING HANDS COMPANION INC
Entity Type:Organization
Organization Name:HELPING HANDS COMPANION INC
Other - Org Name:HELPING HANDS COMPANION INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:561-634-6091
Mailing Address - Street 1:1200 AC EVANS ST APT 2
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-2063
Mailing Address - Country:US
Mailing Address - Phone:561-634-6091
Mailing Address - Fax:561-828-2343
Practice Address - Street 1:1200 AC EVANS ST APT 2
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-2063
Practice Address - Country:US
Practice Address - Phone:561-634-6091
Practice Address - Fax:561-828-2343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health