Provider Demographics
NPI:1255898656
Name:HEALTHY HOMES LLC
Entity type:Organization
Organization Name:HEALTHY HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCAGLIARINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-309-3039
Mailing Address - Street 1:125 REMOUNT RD STE C1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-6459
Mailing Address - Country:US
Mailing Address - Phone:980-309-3039
Mailing Address - Fax:
Practice Address - Street 1:125 REMOUNT RD STE C1
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-6459
Practice Address - Country:US
Practice Address - Phone:980-309-3039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health