Healthcare Provider Details

I. General information

NPI: 1053660373
Provider Name (Legal Business Name): HELPING ALL PEOPLE SUCCEED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 08/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 SUGARLOAF PARKWAY SUITE 209-119
LAWRENCEVILLE GA
30044-2868
US

IV. Provider business mailing address

4850 SUGARLOAF PARKWAY SUITE 209-119
LAWRENCEVILLE GA
30044-2868
US

V. Phone/Fax

Practice location:
  • Phone: 347-433-8727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberCO112991
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: HALEMHA SIMPSON
Title or Position: ORGANIZER
Credential:
Phone: 347-433-8727