Provider Demographics
NPI:1447836762
Name:MILDRED'S HELPING HANDS LLC
Entity type:Organization
Organization Name:MILDRED'S HELPING HANDS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MYLIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ESCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-850-3899
Mailing Address - Street 1:201 N ILLINOIS ST FL 16
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1904
Mailing Address - Country:US
Mailing Address - Phone:317-850-3899
Mailing Address - Fax:
Practice Address - Street 1:11216 FALL CREEK RD STE 123
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-9406
Practice Address - Country:US
Practice Address - Phone:317-523-8037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300048260Medicaid