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MRS. TENEIKA CLIFTON FUNDERBURK NPI 1770781098


NPI Information

NPI: 1770781098
Provider Name: MRS. TENEIKA CLIFTON FUNDERBURK
Classification: Technician - 3747P1801X
Entity Type: Individual

Specialization: Personal Care Attendant

Address:
6033 FLORENCE AVE STE 200
CHARLOTTE, NC
ZIP 28212
Phone: (980) 430-5055
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MRS. Teneika Clifton Funderburk is a personal care attendant technician in Charlotte, NC. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards MRS. Teneika Clifton Funderburk NPI is 1770781098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6033 FLORENCE AVE STE 200
CHARLOTTE, NC
ZIP 28212
Phone: (980) 430-5055
Fax: (704) 749-8652

The enumeration date for this NPI number is 7/8/2007 and was last updated on 1/31/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747A0650XTechnicianAttendant Care ProviderHC3403NORTH CAROLINANo
23747P1801XTechnicianPersonal Care AttendantHC3403NORTH CAROLINAYes
3376K00000XNurse's Aide329836NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16601520MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.