Provider Demographics
NPI:1831411214
Name:SENIOR HELPING HAND
Entity type:Organization
Organization Name:SENIOR HELPING HAND
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:SOMMERFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-340-2166
Mailing Address - Street 1:42800 BOB HOPE DR
Mailing Address - Street 2:209J
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4437
Mailing Address - Country:US
Mailing Address - Phone:760-297-2166
Mailing Address - Fax:760-297-2913
Practice Address - Street 1:42800 BOB HOPE DR
Practice Address - Street 2:209J
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4437
Practice Address - Country:US
Practice Address - Phone:760-297-2166
Practice Address - Fax:760-297-2913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831411214Medicaid