Healthcare Provider Details

I. General information

NPI: 1912796467
Provider Name (Legal Business Name): HESLI GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5519 MT MANSFIELD RD
CHARLOTTE NC
28278-7386
US

IV. Provider business mailing address

3540 TORINGDON WAY STE 200
CHARLOTTE NC
28277-4650
US

V. Phone/Fax

Practice location:
  • Phone: 617-895-6542
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: KRISTIE SPELLEN
Title or Position: CO-FOUNDER, VP OF OPERATIONS
Credential:
Phone: 617-895-6542