Tri Delta Fye LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

TRI DELTA FYE LLC

Doing business as

Winder CNA Training

Practice address

2891 Monroe Hwy Ste 101
Bogart, GA 30622-1048

Phone

(770) 203-0858

NPI assigned

Dec 1, 2023

Last updated

Dec 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyle Moon

Title

President

Phone

(770) 203-0858

Specialties & licenses 1

Addresses

Other names 1

• Winder CNA Training Doing business as

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1881460798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2891 MONROE HWY STE 101",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2891 MONROE HWY STE 101",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306221048",
            "telephone_number": "770-203-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI DELTA FYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-203-0858"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winder CNA Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Agency in Bogart, GA
• Providers in Bogart, GA by specialty
• Home Infusion Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.