Tyvis Residential Care, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

TYVIS RESIDENTIAL CARE, LLC

Practice address

2013 Swanton CT
Virginia Beach, VA 23464-8817

Phone

(757) 447-1649

NPI assigned

May 24, 2022

Organization subpart

No

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

Authorized official

Name

Cheri Fields, RN

Title

Administrator

Phone

(757) 447-1649

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1043958739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 SWANTON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648817",
            "telephone_number": "757-447-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 SWANTON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648817",
            "telephone_number": "757-447-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYVIS RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-447-1649",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Jamal Tyler Sr.
• Keenan Tyler, LPC
• Maya Destiny Tynes
• Christy Tyquiengco, PTA
• Sara Tyszko, PA-C
• U Count 2,LLC
• U First
• U S Navy
• U S Therapeutics, Inc
• Ucfa Physicians Network Group of Virginia

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.