Provider Demographics
NPI:1568701860
Name:HELPING OTHERS TO SUCCEED INC
Entity Type:Organization
Organization Name:HELPING OTHERS TO SUCCEED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUEL-CROSSDALE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:860-839-8090
Mailing Address - Street 1:670 STANLEY ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2737
Mailing Address - Country:US
Mailing Address - Phone:860-839-8090
Mailing Address - Fax:860-613-6299
Practice Address - Street 1:670 STANLEY ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2737
Practice Address - Country:US
Practice Address - Phone:860-839-8090
Practice Address - Fax:860-613-6299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-06
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000849251B00000X, 253Z00000X
CTHCA 0001053251E00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT56375124Medicaid