Provider Demographics
NPI:1952688616
Name:HELPING HANDS OF HAWKINS COUNTY, INC.
Entity Type:Organization
Organization Name:HELPING HANDS OF HAWKINS COUNTY, INC.
Other - Org Name:THE CHIP HALE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-272-3966
Mailing Address - Street 1:310 N HASSON ST
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-3717
Mailing Address - Country:US
Mailing Address - Phone:423-272-3966
Mailing Address - Fax:423-272-4025
Practice Address - Street 1:310 N HASSON ST
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857-3717
Practice Address - Country:US
Practice Address - Phone:423-272-3966
Practice Address - Fax:423-272-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNL000000008423253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN067Medicaid