Provider Demographics
NPI:1982114435
Name:SUPPORTING HANDS
Entity Type:Organization
Organization Name:SUPPORTING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEVEARN
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-277-1114
Mailing Address - Street 1:7505 EVANSTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64138-1714
Mailing Address - Country:US
Mailing Address - Phone:816-277-1114
Mailing Address - Fax:
Practice Address - Street 1:7505 EVANSTON AVE
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64138-1714
Practice Address - Country:US
Practice Address - Phone:816-277-1114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care