Provider Demographics
NPI:1790926277
Name:NEDIRI
Entity Type:Organization
Organization Name:NEDIRI
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-344-0801
Mailing Address - Street 1:2151 HAWKINS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-4981
Mailing Address - Country:US
Mailing Address - Phone:704-344-0801
Mailing Address - Fax:704-344-0104
Practice Address - Street 1:2151 HAWKINS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4981
Practice Address - Country:US
Practice Address - Phone:704-344-0801
Practice Address - Fax:704-344-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health