Provider Demographics
NPI:1750180022
Name:HANDY SENIOR HELPER LLC
Entity type:Organization
Organization Name:HANDY SENIOR HELPER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOELLE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:HARRIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, HHA
Authorized Official - Phone:360-606-4907
Mailing Address - Street 1:42671 SANDY BAY RD
Mailing Address - Street 2:
Mailing Address - City:BERMUDA DUNES
Mailing Address - State:CA
Mailing Address - Zip Code:92203-1355
Mailing Address - Country:US
Mailing Address - Phone:360-606-4907
Mailing Address - Fax:
Practice Address - Street 1:13381 FAIRFIELD LN # 1798
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-6814
Practice Address - Country:US
Practice Address - Phone:360-606-4907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health