Provider Demographics
NPI:1871184556
Name:HELPFUL HANDS HOME HEALTH CDS, LLC
Entity Type:Organization
Organization Name:HELPFUL HANDS HOME HEALTH CDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-938-9995
Mailing Address - Street 1:14220 OLD HALLS FERRY RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63034-2400
Mailing Address - Country:US
Mailing Address - Phone:314-938-9995
Mailing Address - Fax:
Practice Address - Street 1:14220 OLD HALLS FERRY RD STE 100
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63034-2400
Practice Address - Country:US
Practice Address - Phone:314-938-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOT1019Medicaid