TDS Care Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7749269 Issued in NC

Legal business name

TDS CARE SERVICES

Practice address

2706 Dawson Dr Apt 165
Chester, SC 29706-5225

Phone

(704) 421-1684

NPI assigned

Jul 13, 2015

Organization subpart

No

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

Authorized official

Name

Jeannette Lovette Mingo, CNA

Title

Ceo

Phone

(704) 421-1684

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1558745349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 COPPERFIELD BLVD NE STE L 336",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252432",
            "telephone_number": "704-421-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 DAWSON DR APT 165",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297065225",
            "telephone_number": "704-421-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDS CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "MINGO",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_middle_name": "LOVETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-421-1684",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "7749269",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "7749269",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7749269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Chester, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.