Provider Demographics
NPI:1710149778
Name:BRENDA & ASSOCIATES
Entity Type:Organization
Organization Name:BRENDA & ASSOCIATES
Other - Org Name:ADDED TOUCH HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:WOOTEN
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-677-3869
Mailing Address - Street 1:1307 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-7811
Mailing Address - Country:US
Mailing Address - Phone:336-677-3869
Mailing Address - Fax:336-677-1351
Practice Address - Street 1:1307 W MAIN ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-7811
Practice Address - Country:US
Practice Address - Phone:336-677-3869
Practice Address - Fax:336-677-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2804251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601150Medicaid
NC3408086Medicaid