| NPI | 1033880943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIOPIA VICTORIA TINSLEY Owner 919-413-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X Community/Behavioral Health | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-01-31 |