Provider Demographics
NPI:1922695154
Name:EXTENDED HANDS PROJECT INC.
Entity Type:Organization
Organization Name:EXTENDED HANDS PROJECT INC.
Other - Org Name:AUTUMN WAY ASSISTED LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TINISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HINDS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:727-201-7988
Mailing Address - Street 1:945 7TH ST NW
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1178
Mailing Address - Country:US
Mailing Address - Phone:727-754-4922
Mailing Address - Fax:727-754-4923
Practice Address - Street 1:945 7TH ST NW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1178
Practice Address - Country:US
Practice Address - Phone:727-754-4922
Practice Address - Fax:727-754-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility