=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922432517
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PEOPLE WHO HELP PEOPLE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2013
-----------------------------------------------------
Last Update Date | 08/30/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1172 SW 30TH ST SUITE 1
-----------------------------------------------------
City | PALM CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34990-2999
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-872-6983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1172 SW 30TH ST SUITE 1
-----------------------------------------------------
City | PALM CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34990-2999
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 772-872-6983
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/ADMINISTRATOR
-----------------------------------------------------
Name | MR. LEO WILLIAM BORELLIS
-----------------------------------------------------
Credential | MS IND ADMIN
-----------------------------------------------------
Telephone | 772-872-6983
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | NR30211569
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------