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TERRACEDAR SERVICES LLC NPI 1285285973


NPI Information

NPI: 1285285973
Provider Name: TERRACEDAR SERVICES, LLC
Classification: Day Training/Habilitation Specialist - 373H00000X
Entity Type: Organization
Address:
9317 MADINA PKWY
FORT WAYNE, IN
ZIP 46825
Phone: (260) 310-9599
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TERRACEDAR SERVICES, LLC is a day training habilitation specialist in Fort Wayne, IN. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. TERRACEDAR SERVICES, LLC NPI is 1285285973. The provider is registered as an organization entity type.

The provider's business location address is:

9317 MADINA PKWY
FORT WAYNE, IN
ZIP 46825-134
Phone: (260) 310-9599

The provider's authorized official is Monchelle Denise Davis .
The authorized official title is Ceo/habilitation Specialist and has the following contact phone number (260) 310-9599.

The enumeration date for this NPI number is 9/24/2019 and was last updated on 9/24/2019.


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
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo
2373H00000XDay Training/Habilitation SpecialistYes

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

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