Healthcare Provider Details

I. General information

NPI: 1790599603
Provider Name (Legal Business Name): NEW HELPING ORDINARY PEOPLE EXCEL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 S 7TH ST
WILMINGTON NC
28401-5213
US

IV. Provider business mailing address

PO BOX 7851
WILMINGTON NC
28406-7851
US

V. Phone/Fax

Practice location:
  • Phone: 910-620-1266
  • Fax:
Mailing address:
  • Phone: 910-807-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: TAMMY WYNN
Title or Position: COO
Credential:
Phone: 910-489-6221