Provider Demographics
NPI:1790152551
Name:HELPING HANDS IN-HOME CARE LLC
Entity Type:Organization
Organization Name:HELPING HANDS IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RANDLLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMLAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-592-5815
Mailing Address - Street 1:PO BOX 2438
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-2438
Mailing Address - Country:US
Mailing Address - Phone:435-592-5815
Mailing Address - Fax:
Practice Address - Street 1:690 N 3900 W
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-8130
Practice Address - Country:US
Practice Address - Phone:435-592-5815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT135666305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========003Medicaid