Tyson Homecare

LBN: Iv Care Inc
Tyson Homecare is an health care organization with primary practice located at 149 A South Market Street , Holly Springs MS 38635-3238. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Iv Care Inc can be contacted via phone (662) 252-3688, or through Heaton, Sherri S. via phone (662) 252-6179.

Contact Information

Primary practice address
149 A South Market Street Holly Springs MS 38635-3238
Fax: (662) 252-4379
Website:
Authorized official contact:
Name: Heaton, Sherri S.

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E06294 Mississippi
Suppliers / Oxygen Equipment & Supplies 332BX2000X 07543/11.1 Mississippi
Suppliers / Pharmacy 333600000X 07543-11-1 Mississippi

Profile Details

NPI number 1588849145
LBN Legal business name Iv Care Inc
DBA Doing business as Tyson Homecare
Authorized official Heaton, Sherri S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Mar 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588849145 NPPES
Mississippi MEDICAID 03186562

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