Provider Demographics
NPI:1144307463
Name:HELPING HANDS COMMUNITY LIVING,LLC
Entity type:Organization
Organization Name:HELPING HANDS COMMUNITY LIVING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICKEY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-699-9199
Mailing Address - Street 1:141 PROSPEROUS PL
Mailing Address - Street 2:SUITE 24-A
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1848
Mailing Address - Country:US
Mailing Address - Phone:859-699-9199
Mailing Address - Fax:
Practice Address - Street 1:141 PROSPEROUS PL
Practice Address - Street 2:SUITE 24-A
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1848
Practice Address - Country:US
Practice Address - Phone:859-699-9199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33000373261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY33000373Medicaid