Provider Demographics
NPI:1336221324
Name:HELPING HANDS FOR BETTER LIVING ADULT DAY HEALTH CARE
Entity Type:Organization
Organization Name:HELPING HANDS FOR BETTER LIVING ADULT DAY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-530-4489
Mailing Address - Street 1:PO BOX 3889
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-7889
Mailing Address - Country:US
Mailing Address - Phone:714-530-4489
Mailing Address - Fax:714-530-9917
Practice Address - Street 1:10281 CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-2944
Practice Address - Country:US
Practice Address - Phone:714-530-4489
Practice Address - Fax:714-530-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAADU70133FMedicaid