Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theophilos III (Ido) Intergenerational Diversified Outreach Ministries

Organization Home Health Agency · NPI 1053655035

Theophilos III (Ido) Intergenerational Diversified Outreach Ministries is a Home Health Agency in Monroe, North Carolina. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

206 N Hayne St Ste A
Monroe, NC 28112-4866
Phone: (704) 635-8860
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1053655035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Cogsdell — President Ceo Community Outreach · (240) 678-0143
NPI enumeratedNovember 15, 2012
Last updated in NPPESNovember 15, 2012
Mailing address206 N Hayne St Ste A, Monroe, NC 28112-4866

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