Provider Demographics
NPI:1710474481
Name:CENTRAL TEXAS HELPING HANDS
Entity Type:Organization
Organization Name:CENTRAL TEXAS HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-732-4455
Mailing Address - Street 1:105 TAMPICO DR
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643-3015
Mailing Address - Country:US
Mailing Address - Phone:254-732-4455
Mailing Address - Fax:254-732-4425
Practice Address - Street 1:105 TAMPICO DR
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:TX
Practice Address - Zip Code:76643-3015
Practice Address - Country:US
Practice Address - Phone:254-732-4455
Practice Address - Fax:254-732-4425
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL TEXAS HELPING HANDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-18
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1609413210Medicaid