Healthcare Provider Details

I. General information

NPI: 1730364118
Provider Name (Legal Business Name): H.E.L.P. LLC (HELPING TO ESTABLISH LIFE AND PROSPERITY)
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2008
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 BROOKFIELD POINTE DR
CHARLOTTE NC
28216-7674
US

IV. Provider business mailing address

5740 BROOKFIELD POINTE DR
CHARLOTTE NC
28216-7674
US

V. Phone/Fax

Practice location:
  • Phone: 704-394-2125
  • Fax: 704-394-2999
Mailing address:
  • Phone: 704-394-2125
  • Fax: 704-394-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNC

VIII. Authorized Official

Name: GERALD JEROME FOREMAN
Title or Position: CEO
Credential:
Phone: 704-236-8813