Ty's House, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL-0293 Issued in CO

Legal business name

TY'S HOUSE, LLC

Practice address

5060 Troy St
Denver, CO 80239-4338

Phone

(303) 307-8332

Fax

(303) 261-1112

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn Shockley

Title

Administrator

Phone

(303) 307-8332

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ty's House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ty's House

  • Assisted Living Facility
  • Denver, CO
  • NPI 1386019677
  NPD tax ID

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366560195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390651",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802391651",
            "telephone_number": "303-307-8332",
            "fax_number": "303-261-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TROY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394338",
            "telephone_number": "303-307-8332",
            "fax_number": "303-261-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TY'S HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOCKLEY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-307-8332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CO",
            "license": "AL-0293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15655351",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Twohig, D.D.S.
• Elizabeth Katherine Twomey, D.D.S.
• Megan Cole Twomey, PH.D.
• Txurselfmd
• Ty's House
• Laura A Tyberg, AU.D.
• Micah John Tyberg, D.D.S
• Agnieszka Tyl, PA-A
• Hannah Tyler
• Jeane Treelynn Tyler, BSW

• Assisted Living Facility in Denver, CO
• Providers in Denver, CO by specialty
• Assisted Living Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.