Provider Demographics
NPI:1881390086
Name:HANDS OF STANDARD LLC
Entity type:Organization
Organization Name:HANDS OF STANDARD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHASTITY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:334-437-4375
Mailing Address - Street 1:PO BOX 253
Mailing Address - Street 2:
Mailing Address - City:GEORGIANA
Mailing Address - State:AL
Mailing Address - Zip Code:36033-0253
Mailing Address - Country:US
Mailing Address - Phone:334-376-0075
Mailing Address - Fax:334-376-0158
Practice Address - Street 1:241 HANKS AVENUE
Practice Address - Street 2:
Practice Address - City:GEORGIANA
Practice Address - State:AL
Practice Address - Zip Code:36033
Practice Address - Country:US
Practice Address - Phone:334-376-0075
Practice Address - Fax:334-376-0158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1568047363Medicaid