Provider Demographics
NPI:1316379233
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:MRS
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:P
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSA
Authorized Official - Phone:919-479-6806
Mailing Address - Street 1:3124 QUEENSLAND RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7264
Mailing Address - Country:US
Mailing Address - Phone:919-479-6806
Mailing Address - Fax:919-479-5566
Practice Address - Street 1:3124 QUEENSLAND RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-7264
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:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
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