Provider Demographics
NPI:1881006153
Name:HELMENDACH MANAGEMENT SERVICES
Entity type:Organization
Organization Name:HELMENDACH MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:HELMENDACH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-573-7161
Mailing Address - Street 1:7215 LEBANON ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9027
Mailing Address - Country:US
Mailing Address - Phone:704-573-7161
Mailing Address - Fax:704-573-3799
Practice Address - Street 1:7215 LEBANON ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-9027
Practice Address - Country:US
Practice Address - Phone:704-573-7161
Practice Address - Fax:704-573-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1833111N00000X
NC1834111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1124186200OtherNPI
NC1558428136OtherNPI