Tyrelle Maxon

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

13642 House of Lancaster Dr
Baton Rouge, LA 70816-1119

Phone

(225) 803-8073

NPI assigned

Dec 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1639839376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13642 HOUSE OF LANCASTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161119",
            "telephone_number": "225-803-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13642 HOUSE OF LANCASTER DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161119",
            "telephone_number": "225-803-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXON",
        "first_name": "TYRELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica M Mautner, LCSW
• Genesis Maxie
• Maxillofacial Imaging of Baton Rouge, LLC
• Maxim Healthcare Services, Inc.
• Maxima Industries Incorporated
• Deborah J Maxwell
• Donna Maxwell
• Teresa Maxwell, LCSW
• Billy Allen May Jr., MD
• Darryl L May, PT

• In Home Supportive Care Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.