Provider Demographics
NPI:1255097259
Name:CALLIE'S HELPING HANDS
Entity type:Organization
Organization Name:CALLIE'S HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-386-9920
Mailing Address - Street 1:1367 S COUNTRY CLUB DR UNIT 1075
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5290
Mailing Address - Country:US
Mailing Address - Phone:313-740-6663
Mailing Address - Fax:
Practice Address - Street 1:1367 S COUNTRY CLUB DR UNIT 1075
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5290
Practice Address - Country:US
Practice Address - Phone:602-386-9902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-14
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health