Daisy'S Way LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DAISY'S WAY LLC

Practice address

323 Clifton St Ste 4
Greenville, NC 27858-5053

Phone

(252) 215-1215

Fax

(252) 215-1214

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tiffany Danielle Wilder Jacko, RN

Title

Ceo

Phone

(252) 215-1215

Specialties & licenses 1

Addresses

Tax ID family

Daisy'S Way2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Daisy'S Way

  • Community/Behavioral Health Agency
  • Greenville, CA
  • NPI 1104974203
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154450583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CLIFTON ST STE 4",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585053",
            "telephone_number": "252-215-1215",
            "fax_number": "252-215-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CLIFTON ST STE 4",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585053",
            "telephone_number": "252-215-1215",
            "fax_number": "252-215-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY'S WAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKO",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DANIELLE WILDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-215-1215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Holland Daff, MD
• Alex Dai, MD
• Audrey Dail
• Taylor Marie Dail, PA-C
• Mindy Hill Dailey, M.D.
• Desmond Miles Daley, M.D.
• Christopher Elias Dalloul
• Richard Tyler Dalyai, M.D.
• William Alexander Baxter Dalzell, MD
• Hannah H. Dameron, MS,CCC-A

• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.