Healthcare Provider Details
I. General information
NPI: 1497932990
Provider Name (Legal Business Name): STANZELCO LLC DBA HOMEHELPERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2008
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 WHITE ST
HENDERSONVILLE NC
28739-5239
US
IV. Provider business mailing address
311 WHITE ST
HENDERSONVILLE NC
28739-5239
US
V. Phone/Fax
- Phone: 828-694-0000
- Fax: 828-694-0303
- Phone: 828-694-0000
- Fax: 828-694-0303
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | HC2081 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | HC2081 |
| License Number State | NC |
VIII. Authorized Official
Name: MR.
STEPHEN
MICHAEL
EDWARDS
Title or Position: OWNER
Credential: MSW
Phone: 828-694-0000