Healthcare Provider Details

I. General information

NPI: 1487590592
Provider Name (Legal Business Name): HELPFUL RESOURCE CARE AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 JEFFERSON ST STE 4A
CARLSBAD CA
92008-1707
US

IV. Provider business mailing address

2725 JEFFERSON ST STE 4A
CARLSBAD CA
92008-1707
US

V. Phone/Fax

Practice location:
  • Phone: 858-868-7715
  • Fax:
Mailing address:
  • Phone: 858-868-7715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: SHANTELL JOHNSON
Title or Position: MANAGER/OWNER
Credential:
Phone: 469-766-5679