Provider Demographics
NPI:1093806168
Name:PEOPLE HELPING PEOPLE OF NORTH CAROLINA LLC
Entity Type:Organization
Organization Name:PEOPLE HELPING PEOPLE OF NORTH CAROLINA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-760-1330
Mailing Address - Street 1:1510 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-4906
Mailing Address - Country:US
Mailing Address - Phone:336-760-1330
Mailing Address - Fax:336-760-1341
Practice Address - Street 1:1510 MARTIN ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-4906
Practice Address - Country:US
Practice Address - Phone:336-760-1330
Practice Address - Fax:336-760-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2014-05-13
Deactivation Date:2008-06-03
Deactivation Code:
Reactivation Date:2008-06-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409502Medicaid
NC3410011Medicaid
NC8300090BMedicaid
NC8300090GMedicaid
NC8300090Medicaid
NC8300090AMedicaid