Provider Demographics
NPI:1578580221
Name:HELPING HANDS HOME CARE AGENCY
Entity Type:Organization
Organization Name:HELPING HANDS HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:OVERTON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:910-428-3311
Mailing Address - Street 1:115 NEW HOPE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:STAR
Mailing Address - State:NC
Mailing Address - Zip Code:27356-7539
Mailing Address - Country:US
Mailing Address - Phone:910-428-3311
Mailing Address - Fax:910-428-1311
Practice Address - Street 1:115 NEW HOPE CHURCH RD
Practice Address - Street 2:
Practice Address - City:STAR
Practice Address - State:NC
Practice Address - Zip Code:27356-7539
Practice Address - Country:US
Practice Address - Phone:910-428-3311
Practice Address - Fax:910-428-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2809251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601156Medicaid