Teddy Angels,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TEDDY ANGELS,LLC

Practice address

2575 Old Glory Rd Ste 620
Clemmons, NC 27012-9636

Phone

(336) 486-8294

Fax

(336) 842-5922

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Teddy Tumbi

Title

Administrative Director

Phone

(336) 287-3253

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teddy Angels Doing business as

Locations

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1689275083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 OLD GLORY RD STE 620",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129636",
            "telephone_number": "336-486-8294",
            "fax_number": "336-842-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 OLD GLORY RD STE 620",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129636",
            "telephone_number": "336-486-8294",
            "fax_number": "336-842-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEDDY ANGELS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "TUMBI",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "336-287-3253"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC5753",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teddy Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alexandra Jane Talbert, PA-C
• Tanglewood Park Physicians, PLLC
• Cara Terry
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• Thomas M Anderson DDS PA

• Home Health Agency in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Home Health Agency in North Carolina

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