K2 Helping Hands

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

K2 HELPING HANDS

Practice address

21645 Olivia Ave
Sauk Village, IL 60411-4426

Phone

(708) 692-8737

Fax

(708) 367-9930

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Shawnice Y WaightNPI 1124253885

Title

President

Phone

(708) 692-8737

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawnice Y Waight

  • Contractor
  • Sauk Village, IL
  • NPI 1124253885
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1427284686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21645 OLIVIA AVE",
            "city": "SAUK VILLAGE",
            "state": "IL",
            "postal_code": "604114426",
            "telephone_number": "708-692-8737",
            "fax_number": "708-367-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21645 OLIVIA AVE",
            "city": "SAUK VILLAGE",
            "state": "IL",
            "postal_code": "604114426",
            "telephone_number": "708-692-8737",
            "fax_number": "708-367-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K2 HELPING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "WAIGHT",
        "authorized_official_first_name": "SHAWNICE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-692-8737",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Sauk Village, IL
• Providers in Sauk Village, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.