Provider Demographics
NPI:1376282525
Name:A-1 HELPING HEARTS HOME CARE AGENCY
Entity Type:Organization
Organization Name:A-1 HELPING HEARTS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:984-212-0173
Mailing Address - Street 1:3915 BERYL RD STE 124
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5609
Mailing Address - Country:US
Mailing Address - Phone:984-212-0173
Mailing Address - Fax:
Practice Address - Street 1:3915 BERYL RD STE 124
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5609
Practice Address - Country:US
Practice Address - Phone:984-212-0173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1972242808Medicaid