Provider Demographics
| NPI: | 1568067874 |
|---|---|
| Name: | HELP AT HOME SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | HELP AT HOME SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MARIA |
| Authorized Official - Middle Name: | CECILIA |
| Authorized Official - Last Name: | KITELE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 973-897-6881 |
| Mailing Address - Street 1: | 15-01 BROADWAY STE 10C |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FAIR LAWN |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 07410-6018 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 973-897-6881 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 15-01 BROADWAY STE 10C |
| Practice Address - Street 2: | |
| Practice Address - City: | FAIR LAWN |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 07410-6018 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 973-897-6881 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | HELP AT HOME SERVICES LLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2020-12-03 |
| Last Update Date: | 2020-12-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |