Provider Demographics
NPI: | 1134622103 |
---|---|
Name: | HELPING HANDS ADAPT |
Entity type: | Organization |
Organization Name: | HELPING HANDS ADAPT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | LATARRIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MARTIN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 602-561-5601 |
Mailing Address - Street 1: | 601 S ALMA SCHOOL RD APT 385 |
Mailing Address - Street 2: | |
Mailing Address - City: | MESA |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85210-1072 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 601 S ALMA SCHOOL RD APT 385 |
Practice Address - Street 2: | |
Practice Address - City: | MESA |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85210-1072 |
Practice Address - Country: | US |
Practice Address - Phone: | 602-561-5601 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-03-15 |
Last Update Date: | 2020-07-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AZ | 385HR2050X, 385HR2055X, 385HR2060X, 322D00000X, 3245S0500X, 251B00000X, 251E00000X, 251S00000X, 253Z00000X, 320600000X, 320900000X, 252Y00000X | |
251K00000X, 252Y00000X, 261QM0855X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | |
No | 385HR2050X | Respite Care Facility | Respite Care | Respite Care Camp |
No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
No | 322D00000X | Residential Treatment Facilities | Residential Treatment Facility, Emotionally Disturbed Children | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |
No | 251B00000X | Agencies | Case Management | |
No | 251E00000X | Agencies | Home Health | |
No | 251K00000X | Agencies | Public Health or Welfare | |
No | 251S00000X | Agencies | Community/Behavioral Health | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |