Tde Elderly Assistance Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

234010 Issued in FL

Legal business name

TDE ELDERLY ASSISTANCE SERVICES, LLC

Practice address

300 Quail Dr
Merritt Island, FL 32953-4674

Phone

(321) 557-5017

Fax

(321) 452-1385

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Teresa Dianne EldridgeNPI 1821456195

Title

Owner

Phone

(321) 557-5017

Specialties & licenses 1

Addresses

Practitioners 1

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

• Teresa Eldridge

  • In Home Supportive Care Agency
  • Merritt Island, FL
  • NPI 1821456195
  NPD (past) Authorized official

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1942666243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 QUAIL DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534674",
            "telephone_number": "321-557-5017",
            "fax_number": "321-452-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 QUAIL DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534674",
            "telephone_number": "321-557-5017",
            "fax_number": "321-452-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDE ELDERLY ASSISTANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-557-5017"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "234010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.