Tysons Heart in Home Support LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

TYSONS HEART IN HOME SUPPORT LLC

Practice address

18321 Democracy Ave
Ruther Glen, VA 22546-2959

Phone

(757) 771-5171

NPI assigned

May 15, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Tracy Trenae Tyson, TYSON

Title

Owner

Phone

(757) 771-5171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1215866256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18321 DEMOCRACY AVE",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462959",
            "telephone_number": "757-771-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 DEMOCRACY AVE",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462959",
            "telephone_number": "757-771-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSONS HEART IN HOME SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "TRENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-771-5171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "TYSON"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.