Tyniques Rose Garden

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

TYNIQUES ROSE GARDEN

Practice address

14406 Holcomb Ave
Urbandale, IA 50323-2771

Phone

(402) 707-0615

NPI assigned

Jun 14, 2019

Organization subpart

No

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

Authorized official

Name

Dominique Devers

Title

Owner

Phone

(402) 707-0615

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1609436492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 HOLCOMB AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232771",
            "telephone_number": "402-707-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 HOLCOMB AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232771",
            "telephone_number": "402-707-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYNIQUES ROSE GARDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "DEVERS",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-707-0615"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.