Mary Bishop
Individual provider Active NPI Home Health Agency · Dyersburg, TN
NPI 1255079372 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1255079372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 1107 Hornbrook St
Dyersburg, TN 38024-4425 - Phone
- (731) 334-2116
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Love in Action Caregivers Inc. | Home Health | Current |
Accepting new patients |
Locations
1107 Hornbrook St
Dyersburg, TN 38024
Phone (731) 334-2116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1107 Hornbrook St
Dyersburg, TN 38024-4425
Mailing address
1107 Hornbrook St
Dyersburg, TN 38024-4425
Phone (731) 334-2116
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QO36844 | Medicaid | TN |
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All providers in Dyersburg, TN · Home Health Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.