Provider Demographics
NPI:1447389531
Name:TEDAYS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:TEDAYS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:MIZELL
Authorized Official - Last Name:TONEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-478-7099
Mailing Address - Street 1:PO BOX 293
Mailing Address - Street 2:
Mailing Address - City:SPRING HOPE
Mailing Address - State:NC
Mailing Address - Zip Code:27882-0293
Mailing Address - Country:US
Mailing Address - Phone:252-478-7099
Mailing Address - Fax:252-478-7099
Practice Address - Street 1:312 ASH ST
Practice Address - Street 2:
Practice Address - City:SPRING HOPE
Practice Address - State:NC
Practice Address - Zip Code:27882-0293
Practice Address - Country:US
Practice Address - Phone:252-478-7099
Practice Address - Fax:252-478-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2819251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601178Medicaid
NC3408460Medicaid