Healthcare Provider Details

I. General information

NPI: 1518774801
Provider Name (Legal Business Name): ASSISTING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5501 EXECUTIVE CENTER DR STE 213
CHARLOTTE NC
28212-8823
US

IV. Provider business mailing address

5501 EXECUTIVE CENTER DR STE 213
CHARLOTTE NC
28212-8823
US

V. Phone/Fax

Practice location:
  • Phone: 704-201-7305
  • Fax:
Mailing address:
  • Phone: 704-201-7305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL MAHARIDGE
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 440-366-5628