Provider Demographics
NPI:1780133603
Name:OUR HELPING HANDS HOME HEALTH CARE AGENCY, INC
Entity type:Organization
Organization Name:OUR HELPING HANDS HOME HEALTH CARE AGENCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THEDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-461-3255
Mailing Address - Street 1:PO BOX 166964
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-6964
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1980 BEACHCRAFT DR
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:OH
Practice Address - Zip Code:43619-1602
Practice Address - Country:US
Practice Address - Phone:419-461-3255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health