Provider Demographics
NPI:1770301780
Name:ENDURING HANDS COMMUNITY CARE
Entity type:Organization
Organization Name:ENDURING HANDS COMMUNITY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EPIC
Authorized Official - Middle Name:
Authorized Official - Last Name:STORM-WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-903-0402
Mailing Address - Street 1:6801 NORTHLAKE MALL DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-0713
Mailing Address - Country:US
Mailing Address - Phone:919-238-7380
Mailing Address - Fax:
Practice Address - Street 1:6801 NORTHLAKE MALL DR STE 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-0713
Practice Address - Country:US
Practice Address - Phone:919-238-7380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies