Tbi Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

18557 Issued in NY

Legal business name

TBI SERVICES, LLC

Practice address

7857 Chestnut Ridge Rd
Gasport, NY 14067-9503

Phone

(716) 998-1104

Fax

(866) 354-8174

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Weeks Fernandez, MS, CRC

Title

President

Phone

(716) 998-1104

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Practitioners 1

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

• Diane Elaine Fernandez, MS, CRC LMHC

  • Case Management Agency
  • Gasport, NY
  • NPI 1366592701
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700936127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 CHESTNUT RIDGE RD",
            "city": "GASPORT",
            "state": "NY",
            "postal_code": "140679503",
            "telephone_number": "716-998-1104",
            "fax_number": "866-354-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7857 CHESTNUT RIDGE RD",
            "city": "GASPORT",
            "state": "NY",
            "postal_code": "140679503",
            "telephone_number": "716-998-1104",
            "fax_number": "866-354-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "WEEKS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-998-1104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CRC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "18557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02621387",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua R Rich, M.A., N.C.C
• Melissa M Schwab
• Heather Megan Slowey
• Howard Smith, PA
• Mark Stahl, PHARM. D
• Tri Town Ambulance Service Inc
• Village Park Healthcare Center, Inc.
• Cchristine Velie Wilcox, LLPN
• William J Martell
• Amy Susan Wolter

• Home Health Agency in Gasport, NY
• Providers in Gasport, NY by specialty
• Home Health Agency in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.