Provider Demographics
NPI:1558545343
Name:MOTHER'S HELPER HOME HEALTHCARE, INC.
Entity Type:Organization
Organization Name:MOTHER'S HELPER HOME HEALTHCARE, INC.
Other - Org Name:MADS DME
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:919-845-5132
Mailing Address - Street 1:5104A OAK PARK RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3027
Mailing Address - Country:US
Mailing Address - Phone:919-845-5132
Mailing Address - Fax:919-870-0205
Practice Address - Street 1:5104A OAK PARK RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3027
Practice Address - Country:US
Practice Address - Phone:919-845-5132
Practice Address - Fax:919-870-0205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOTHER'S HELPER HOME HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-28
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3355251E00000X, 251J00000X
NC02256332B00000X
NC02207332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3419103Medicaid
NCDME PERMIT 02207OtherMADS DME
NCDME PERMIT 02256OtherDME
NC6602275Medicaid
NC7100675Medicaid