Provider Demographics
NPI:1144984964
Name:MONIQUE HELPING HANDS
Entity type:Organization
Organization Name:MONIQUE HELPING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SHERMAN CHAMP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-625-8745
Mailing Address - Street 1:1044 CHERBOURG AVE E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-4569
Mailing Address - Country:US
Mailing Address - Phone:904-625-8745
Mailing Address - Fax:
Practice Address - Street 1:1044 CHERBOURG AVE E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-4569
Practice Address - Country:US
Practice Address - Phone:904-625-8745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCOMPANIONOtherHOMEMAKER