Tda Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

808110900 Issued in ID

Legal business name

TDA INC

Practice address

524 E Locust LN
Nampa, ID 83686-8415

Phone

(208) 463-9464

Fax

(208) 463-9464

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Jessi Erin Eckley

Title

President

Phone

(208) 463-9464

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1962658708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 E LOCUST LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868415",
            "telephone_number": "208-463-9464",
            "fax_number": "208-463-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E LOCUST LN",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868415",
            "telephone_number": "208-463-9464",
            "fax_number": "208-463-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "ECKLEY",
        "authorized_official_first_name": "JESSI",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-463-9464"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "808110900",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "808110901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808110901",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808110900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Taylor, LMSW
• Rebecca Taylor, LMSW
• Rebecca L Taylor, AUD
• Terry Joe Taylor, D.M.D.
• Todd Taylor
• James Richard Teater, DPT
• Telehealth Counseling of Idaho, LLC
• Ten Companies Inc
• Bill Taylor Terry, MD
• Trevor Tesch

• Home Health Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.