Healthcare Provider Details

I. General information

NPI: 1558234989
Provider Name (Legal Business Name): CARING HANDS PROVIDER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 STEED RD
SEAGROVE NC
27341-9461
US

IV. Provider business mailing address

351 STEED RD
SEAGROVE NC
27341-9461
US

V. Phone/Fax

Practice location:
  • Phone: 336-460-7710
  • Fax:
Mailing address:
  • Phone: 336-460-7710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: SIMEON MCRAE
Title or Position: CEO
Credential:
Phone: 336-460-7710