Provider Demographics
NPI:1275210908
Name:TIDING HOLDINGS LLC
Entity Type:Organization
Organization Name:TIDING HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPOGHENOBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-244-8616
Mailing Address - Street 1:700 WADSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-2626
Mailing Address - Country:US
Mailing Address - Phone:804-244-8616
Mailing Address - Fax:
Practice Address - Street 1:700 WADSWORTH DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-2626
Practice Address - Country:US
Practice Address - Phone:804-244-8616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care