Provider Demographics
NPI:1205125721
Name:AHELPINGHAND@HOMECARELLC
Entity type:Organization
Organization Name:AHELPINGHAND@HOMECARELLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:443-366-6250
Mailing Address - Street 1:307 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-5545
Mailing Address - Country:US
Mailing Address - Phone:410-543-4905
Mailing Address - Fax:410-543-4906
Practice Address - Street 1:307 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5545
Practice Address - Country:US
Practice Address - Phone:410-543-4905
Practice Address - Fax:410-543-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDW425461585969347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle