Provider Demographics
NPI:1164848941
Name:CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Entity Type:Organization
Organization Name:CARING HANDS AND SUPPLEMENTARY ENRICHMENT EDUCATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MASTERS IN SCHOOL AD
Authorized Official - Phone:919-519-4985
Mailing Address - Street 1:2216 S MIAMI BLVD
Mailing Address - Street 2:STE. 101
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6281
Mailing Address - Country:US
Mailing Address - Phone:919-519-4985
Mailing Address - Fax:919-479-5566
Practice Address - Street 1:1711 W LAKEWOOD AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-1130
Practice Address - Country:US
Practice Address - Phone:919-479-6806
Practice Address - Fax:919-479-5566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3418282320600000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418282Medicaid