Healthcare Provider Details

I. General information

NPI: 1821148685
Provider Name (Legal Business Name): HELPING HANDS CARE MANAGEMENT SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 E CHARITY RD
ROSE HILL NC
28458-8300
US

IV. Provider business mailing address

PO BOX 25728
RALEIGH NC
27611-5728
US

V. Phone/Fax

Practice location:
  • Phone: 910-289-3824
  • Fax:
Mailing address:
  • Phone:
  • Fax: 919-989-9539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License NumberMHL-031-049
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberMHL-031-049
License Number StateNC

VIII. Authorized Official

Name: MICHAEL THOMAS FAISON
Title or Position: VICE PRESIDENT
Credential:
Phone: 704-975-2286