Provider Demographics
NPI:1871920736
Name:HELPING HANDS FOUNDATION OF HAVANA
Entity type:Organization
Organization Name:HELPING HANDS FOUNDATION OF HAVANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERNESTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:850-539-8215
Mailing Address - Street 1:186 CHINA BERRY LN
Mailing Address - Street 2:
Mailing Address - City:HAVANA
Mailing Address - State:FL
Mailing Address - Zip Code:32333-3663
Mailing Address - Country:US
Mailing Address - Phone:850-539-8215
Mailing Address - Fax:850-539-5390
Practice Address - Street 1:186 CHINA BERRY LN
Practice Address - Street 2:
Practice Address - City:HAVANA
Practice Address - State:FL
Practice Address - Zip Code:32333-3663
Practice Address - Country:US
Practice Address - Phone:850-539-8215
Practice Address - Fax:850-539-5390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7500251J00000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL676748600Medicaid