Basic Information
| Provider Information | |||||||||
| NPI: | 1952866949 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ASSISTED HANDS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3233 S SHERWOOD FRST STE 203 | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708162250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252932905 | ||||||||
| FaxNumber: | 2252915456 | ||||||||
| Practice Location | |||||||||
| Address1: | 3233 S SHERWOOD FRST STE 203 | ||||||||
| Address2: | |||||||||
| City: | BATON ROUGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 708162250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2252932905 | ||||||||
| FaxNumber: | 2252915456 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2019 | ||||||||
| LastUpdateDate: | 02/05/2019 | ||||||||
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| AuthorizedOfficialLastName: | BROWN | ||||||||
| AuthorizedOfficialFirstName: | LISA | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2252932905 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 385H00000X | Y | Respite Care Facility | Respite Care |
ID Information
| ID | Type | State | Issuer | Description | 14062 | 05 | LA | MEDICAID |