Provider Demographics
NPI:1265786032
Name:A HAND AT HOME SENIOR SERVICES LLC
Entity type:Organization
Organization Name:A HAND AT HOME SENIOR SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:HHA
Authorized Official - Phone:316-734-4465
Mailing Address - Street 1:1712 N IONE RD
Mailing Address - Street 2:
Mailing Address - City:ROSE HILL
Mailing Address - State:KS
Mailing Address - Zip Code:67133-9622
Mailing Address - Country:US
Mailing Address - Phone:316-734-4465
Mailing Address - Fax:
Practice Address - Street 1:1712 N IONE RD
Practice Address - Street 2:
Practice Address - City:ROSE HILL
Practice Address - State:KS
Practice Address - Zip Code:67133-9622
Practice Address - Country:US
Practice Address - Phone:316-734-4465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA008013251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200664900AMedicaid