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A PLACE FOR T.J. HEALTH CARE INC. NPI 1134253875


NPI Information

NPI: 1134253875
Provider Name: A PLACE FOR T.J. HEALTH CARE INC.
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
5001 HEATHRIDGE TER
GREENSBORO, NC
ZIP 27410
Phone: (336) 505-0384
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A PLACE FOR T.J. HEALTH CARE INC. is a developmental disabilities clinic center in Greensboro, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). A PLACE FOR T.J. HEALTH CARE INC. NPI is 1134253875. The provider is registered as an organization entity type.

The provider's business location address is:

5001 HEATHRIDGE TER
GREENSBORO, NC
ZIP 27410-419
Phone: (336) 505-0384
Fax: (336) 505-0384

The provider's authorized official is Letithia Pelham Parker .
The authorized official title is Director and has the following contact phone number (336) 505-0384.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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
1261QD1600XClinic/CenterDevelopmental DisabilitiesMHL04177NORTH CAROLINAYes

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
17805511MEDICAIDNORTH 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: 4/28/2024

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