Tri-Support Services in Kernersville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Tri-Support Services - NPI 1164571535
Tri-Support Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kernersville, North Carolina. Tri-Support Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Tri-Support Services is 1164571535. The last update date is 2018-03-19.
Tri-Support Services's current location address is 8768 Van Hoy Rd, Kernersville, North Carolina. You can contact this provider via phone number 3365011937. The mailing address for Tri-Support Services is 8768 Van Hoy Rd, Kernersville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Support Services |
|---|---|
| Address | 8768 Van Hoy Rd, Kernersville, North Carolina |
| Phone Number | 3365011937 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Idol L. Michael |
| Telephone Number | 3365011937 |
NPI Number Detail
| NPI Number | 1164571535 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2018-03-19 |
Provider Mailing Address Detail
| Address | 8768 Van Hoy Rd |
|---|---|
| City | Kernersville |
| State | North Carolina (NC) |
| Post Code | 272849249 |
| Phone Number | 3365011937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 3409089 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3409089 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tri-Support Services by the Centers for Medicare & Medicaid Services (CMS)?
The Tri-Support Services has been assigned the NPI (National Provider Identifier) 1164571535. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Tri-Support Services is physically located?
The Tri-Support Services is physically situated at the following address: 8768 Van Hoy Rd, Kernersville, NC, 272849249.
What is Tri-Support Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tri-Support Services's specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date was the 1164571535 assigned to Tri-Support Services?
The Tri-Support Services was issued its 1164571535 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Tri-Support Services, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tri-Support Services, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-19.