T.C.C. Group Incorporated

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

NP3746 Issued in NC

Legal business name

T.C.C. GROUP INCORPORATED

Practice address

4601 Six Forks Rd
Suite 500
Raleigh, NC 27609-5287

Phone

(919) 510-8165

Fax

(919) 571-8805

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Everton Uriah Christie

Title

Pesident/Ceo

Phone

(919) 510-8165

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• E & J Nursing Services Doing business as

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1558519587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 SIX FORKS RD",
            "address_2": "SUITE 500",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095287",
            "telephone_number": "919-510-8165",
            "fax_number": "919-571-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 SIX FORKS RD",
            "address_2": "SUITE 500",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095287",
            "telephone_number": "919-510-8165",
            "fax_number": "919-571-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.C.C. GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "EVERTON",
        "authorized_official_middle_name": "URIAH",
        "authorized_official_title_or_position": "PESIDENT/CEO",
        "authorized_official_telephone_number": "919-510-8165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "NP3746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID: 080641 NURSING POOL",
            "identifier": "NP3746",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E & J Nursing Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kerry Elizabeth Tabis, M.A. CCC-SLP

• Nursing Care Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.