Provider Demographics
NPI:1851440143
Name:TANYI'S RESPITE AND HABILATION SERVICES,INC
Entity Type:Organization
Organization Name:TANYI'S RESPITE AND HABILATION SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:HAMRICK
Authorized Official - Last Name:TANYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-484-2450
Mailing Address - Street 1:PO BOX 1811
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28151-1811
Mailing Address - Country:US
Mailing Address - Phone:704-484-2450
Mailing Address - Fax:704-484-3001
Practice Address - Street 1:616 E MARION ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4618
Practice Address - Country:US
Practice Address - Phone:704-484-2450
Practice Address - Fax:704-484-3001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300353Medicaid