Terracedar Services, LLC

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

TERRACEDAR SERVICES, LLC

Practice address

9317 Madina Pkwy
Fort Wayne, IN 46825-1134

Phone

(260) 310-9599

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Monchelle Denise DavisNPI 1942833884

Title

Ceo/Habilitation Specialist

Phone

(260) 310-9599

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monchelle Denise Davis

  • Day Training/Habilitation Specialist
  • Fort Wayne, IN
  • NPI 1942833884
  NPD Authorized official
• Courtney Davis

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1831849215
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1285285973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9317 MADINA PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251134",
            "telephone_number": "260-310-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9317 MADINA PKWY",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251134",
            "telephone_number": "260-310-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACEDAR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MONCHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO/HABILITATION SPECIALIST",
        "authorized_official_telephone_number": "260-310-9599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sewlanchi Demeke Tekle-Wold
• Kaitlyn Ann Telle, CRNA
• Kaja Telmet Harper
• Shelby Tengler
• Dallas Denique Tennessee, BS
• Pamela Ann Terwilleger, RN
• Grettel T Tesado, M.D.
• Matthew John Tescula, DO
• Susan L Teubner, COTA
• Hermela Tezera, M.D.

• Day Training/Habilitation Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Day Training/Habilitation Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.