Provider Demographics
NPI:1811384654
Name:COMMUNITY HELPS NETWORK, LLC
Entity Type:Organization
Organization Name:COMMUNITY HELPS NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-489-8602
Mailing Address - Street 1:112 E ELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2921
Mailing Address - Country:US
Mailing Address - Phone:910-489-8602
Mailing Address - Fax:910-848-1928
Practice Address - Street 1:3309 ROBBINS RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-6587
Practice Address - Country:US
Practice Address - Phone:217-801-9953
Practice Address - Fax:217-801-9954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care