Provider Demographics
NPI:1548921273
Name:GOD'S HELPING HANDS PSA, NWI. LLC
Entity type:Organization
Organization Name:GOD'S HELPING HANDS PSA, NWI. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQULYN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MARCUS-GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-644-5993
Mailing Address - Street 1:7702 JENNINGS ST
Mailing Address - Street 2:
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5121
Mailing Address - Country:US
Mailing Address - Phone:219-208-7702
Mailing Address - Fax:
Practice Address - Street 1:7702 JENNINGS ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5121
Practice Address - Country:US
Practice Address - Phone:219-208-7702
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251E00000XAgenciesHome HealthGroup - Multi-Specialty