1932502226 NPI number — CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932502226 NPI number — CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932502226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2216 S MIAMI BLVD
Provider Second Line Business Mailing Address:
STE. 101
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27703-6281
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-479-6806
Provider Business Mailing Address Fax Number:
919-479-5566

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 DANEBORG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27703-9490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-479-6806
Provider Business Practice Location Address Fax Number:
919-479-5566
Provider Enumeration Date:
10/01/2014

Additional Information

Authorized Official

Authorized Official Last Name:
HINTON
Authorized Official First Name:
LUCIA
Authorized Official Middle Name:
P
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
919-479-6806

Provider Taxonomy Codes

  • Taxonomy code: 385HR2060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3418282 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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