=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598069171
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DAY BY DAY FAMILY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2010
-----------------------------------------------------
Last Update Date | 11/07/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4822 ALBEMARLE RD STE 219
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28205-6656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-405-4265
-----------------------------------------------------
Fax | 704-405-4262
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4822 ALBEMARLE RD STE 219
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28205-6656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-405-4265
-----------------------------------------------------
Fax | 704-405-4262
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR/CEO
-----------------------------------------------------
Name | MS. RUTH ANN THOMAS
-----------------------------------------------------
Credential | LCAS
-----------------------------------------------------
Telephone | 704-405-4265
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------