Tailor Made Outreach

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TAILOR MADE OUTREACH

Practice address

1710 Dallas Ave
Charlotte, NC 28205-7904

Phone

(704) 649-4374

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Shanairea Camp

Title

Ceo

Phone

(704) 649-4374

Specialties & licenses 1

Addresses

Tax ID family

Tailor Made Outreach Company LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tailor Made Outreach Company LLC

  • In Home Supportive Care Agency
  • Knoxville, TN
  • NPI 1750817003
  NPD tax ID

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1922551282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DALLAS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057904",
            "telephone_number": "704-649-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DALLAS AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282057904",
            "telephone_number": "704-649-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILOR MADE OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "SHANAIREA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-649-4374",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Keyan Tadrissi, D.D.S.
• Arti Ajmani Taggar, MD
• Tah Family Corp
• Amir Magdy Abdelrouf Taha, DMD
• Tailor Made Care Services Group
• Nikhil Tailor
• Tailored Home Care II, Inc.
• Tailored Psychiatric Wellness Center
• Danielle C Tain
• Eva Lillian Taishoff, LCSW

• All providers in Charlotte, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.