Healthcare Provider Details

I. General information

NPI: 1013064252
Provider Name (Legal Business Name): HELPING HANDS HEALTH CARE SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NORTH 13TH STREET SUITE 19D
ERWIN NC
28339-1700
US

IV. Provider business mailing address

6531 GATERIDGE DR 207
RALEIGH NC
27613-3229
US

V. Phone/Fax

Practice location:
  • Phone: 919-618-1732
  • Fax:
Mailing address:
  • Phone: 919-618-1732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3634
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. YOLANDA MICHELLE BODDIE
Title or Position: OWNER
Credential:
Phone: 919-618-1732