Thomas N Lyon
Individual provider Active NPI Home Health Aide · Beebe, AR
NPI 1861667966 · NPPES record last updated Apr 30, 2008
Key facts
- NPI
- 1861667966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 3091 Highway 31 S
Beebe, AR 72012-9347 - Phone
- (501) 882-5551
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
3091 Highway 31 S
Beebe, AR 72012-9347
Mailing address
3091 Highway 31 S
Beebe, AR 72012-9347
Phone (501) 882-5551
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2008. 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.