Healthcare Provider Details

I. General information

NPI: 1518399427
Provider Name (Legal Business Name): CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5307 STARDUST DR
DURHAM NC
27712-9580
US

IV. Provider business mailing address

5307 STARDUST DR
DURHAM NC
27712-9580
US

V. Phone/Fax

Practice location:
  • Phone: 919-479-6806
  • Fax: 919-479-5566
Mailing address:
  • Phone: 919-479-6806
  • Fax: 919-479-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. LUCIA P HINTON
Title or Position: EXECUTIVE DIRECTOR
Credential: MSA
Phone: 919-479-6806