THEADORE JOSEPH HENLEY (NPI# 1871192856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871192856 |
| Entity Type | Individual |
| Full Name | THEADORE JOSEPH HENLEY |
| Credential | QSP |
| Practice Address |
604 2nd St Reeder ND 58649-4939 |
| Practice Telephone | 7014980731 |
| Mailing Telephone | 7014980731 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | ND | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1477909 | 05 |
| Street Address |
604 2ND ST |
| City | REEDER |
| State | ND |
| Zip Code | 58649-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557038 | Jada Hofland | Counselor | 503 2nd Ave E, Reeder, ND 58649-4913 | 2015-01-06 |
| 1013388065 | Compass Counseling Center, Pllc | Counselor | 503 2nd Ave E, Reeder, ND 58649-4913 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538557038 | Jada Hofland | Counselor | 503 2nd Ave E, Reeder, ND 58649-4913 | 2015-01-06 |
| 1013388065 | Compass Counseling Center, Pllc | Counselor | 503 2nd Ave E, Reeder, ND 58649-4913 | 2015-10-16 |
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870288 | Joni Lorraine Biggers | Respite Care | 3790 141st Ave Se, Buffalo, ND 58011-9628 | 2020-10-30 |
| 1053910570 | Courtney Cunningham | Respite Care | 3712 E Regent Dr, Bismarck, ND 58504-7530 | 2020-10-26 |
| 1619395753 | Patricia A French | Respite Care | 419 23rd Ave S, Grand Forks, ND 58201-7407 | 2014-04-05 |
| 1174585319 | St. Alexius Medical Center | Respite Care | 220 5th Ave, Turtle Lake, ND 58575-0280 | 2006-04-04 |
| 1265032775 | Charle's Angels of Caring | Respite Care | 1104 8th Ave Ne, Hettinger, ND 58639-8838 | 2020-10-26 |
| 1912183450 | Mercy Hospital | Respite Care | 570 Chautauqua Blvd, Valley City, ND 58072-3145 | 2008-01-15 |
| 1831308220 | Good Samaritan Hospital Association | Respite Care | 800 S Main Ave, Rugby, ND 58368-2118 | 2007-05-22 |
| 1659393650 | Towner County Medical Center/st Francis | Respite Care | Hwy 281n, Cando, ND 58324 | 2006-07-25 |
Please comment or provide details below to improve the information on THEADORE JOSEPH HENLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.