Tilley Home Health Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3958 Issued in NC

Legal business name

TILLEY HOME HEALTH CARE, LLC

Doing business as

ComForcare Home Care

Practice address

8005 N Point Blvd
Suite H
Winston Salem, NC 27106-3267

Phone

(336) 759-7207

Fax

(336) 759-7209

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Tilley

Title

President/Owner

Phone

(336) 759-7207

Specialties & licenses 1

Addresses

Other names 1

• ComForcare Home Care Doing business as

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1801125661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 N POINT BLVD",
            "address_2": "SUITE H",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063267",
            "telephone_number": "336-759-7207",
            "fax_number": "336-759-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 N POINT BLVD",
            "address_2": "SUITE H",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063267",
            "telephone_number": "336-759-7207",
            "fax_number": "336-759-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLEY HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "336-759-7207",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Vestal Tierney, BOCO
• Emily Tierney, CPO
• Tamara Marina Tigani
• Talia N Tigner, PTA
• Hannah Marie Tillack
• Jerry Tilley
• Zoria Timlick
• Jasmine Rose Timm
• Christopher James Timmins, PHARMD
• Monica Anne Timmons, MS

• In Home Supportive Care Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.