Healthcare Provider Details

I. General information

NPI: 1558545343
Provider Name (Legal Business Name): MOTHER'S HELPER HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5104A OAK PARK RD
RALEIGH NC
27612-3027
US

IV. Provider business mailing address

5104A OAK PARK RD
RALEIGH NC
27612-3027
US

V. Phone/Fax

Practice location:
  • Phone: 919-845-5132
  • Fax: 919-870-0205
Mailing address:
  • Phone: 919-845-5132
  • Fax: 919-870-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC3355
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberHC3355
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number02256
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number02207
License Number StateNC

VIII. Authorized Official

Name: MS. CYNTHIA G FOLEY
Title or Position: PRESIDENT
Credential: OWNER
Phone: 919-845-5132