Provider Demographics
NPI:1740313352
Name:HANDICAPPED LIFT AIDS INC
Entity type:Organization
Organization Name:HANDICAPPED LIFT AIDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-832-3400
Mailing Address - Street 1:2310 CALDER ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77702-2015
Mailing Address - Country:US
Mailing Address - Phone:409-832-3400
Mailing Address - Fax:409-832-2812
Practice Address - Street 1:2310 CALDER ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702-2015
Practice Address - Country:US
Practice Address - Phone:409-832-3400
Practice Address - Fax:409-832-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0915001-01Medicaid
TX531965OtherBCBSTX - BMT LOCATION
TX0915001-07Medicaid
TX0168569-01Medicaid
TX531965OtherBCBSTX - BMT LOCATION
TX1169100001Medicare NSC
TX0915001-02Medicaid
TX0168502-01Medicaid