Provider Demographics
NPI:1750880357
Name:HANDS THAT HELP PERSONAL CARE AGENCY, LLC
Entity type:Organization
Organization Name:HANDS THAT HELP PERSONAL CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BENFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-736-5111
Mailing Address - Street 1:8640 S CLEARWATER CT APT 1904
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-2987
Mailing Address - Country:US
Mailing Address - Phone:414-736-5111
Mailing Address - Fax:414-755-7688
Practice Address - Street 1:2824 N 55TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1559
Practice Address - Country:US
Practice Address - Phone:414-763-5020
Practice Address - Fax:414-755-7688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
WI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100074156Medicaid