Provider Demographics
NPI:1669191573
Name:HELENA HOME HEALTH CARE AGENCY
Entity type:Organization
Organization Name:HELENA HOME HEALTH CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:HALINA
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-683-2414
Mailing Address - Street 1:570 STOCKBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-1708
Mailing Address - Country:US
Mailing Address - Phone:323-683-2414
Mailing Address - Fax:
Practice Address - Street 1:1731 ROGERS PL APT P
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-3656
Practice Address - Country:US
Practice Address - Phone:716-796-8674
Practice Address - Fax:818-845-3695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health