Provider Demographics
NPI:1760291611
Name:HIS HELPING HANDS, LLC
Entity type:Organization
Organization Name:HIS HELPING HANDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-313-0041
Mailing Address - Street 1:7537 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-3126
Mailing Address - Country:US
Mailing Address - Phone:219-313-0041
Mailing Address - Fax:219-221-9697
Practice Address - Street 1:7537 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-3126
Practice Address - Country:US
Practice Address - Phone:219-699-0007
Practice Address - Fax:219-221-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care