Tis Home Care

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001241848 Issued in VA

Legal business name

TIS HOME CARE

Practice address

1210 Progressive Dr
Suit 200
Chesapeake, VA 23320

Phone

(757) 410-0382

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Adams

Title

Ceo

Phone

(757) 410-0382

Specialties & licenses 1

Addresses

Tax ID family

Tis Homecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tis Homecare Inc.

  • Home Health Agency
  • Danville, VA
  • NPI 1992052724
  NPD tax ID
• Tis Homecare, Inc

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1699111906
  NPD tax ID

Locations

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1871931709",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1210 PROGRESSIVE DR",
            "city": "CHESAPEAKE",
            "state": "USA",
            "postal_code": "23320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 PROGRESSIVE DR",
            "address_2": "SUIT 200",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-410-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-410-0382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001241848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tidewaterhealth360 PLLC
• Leon Tillery, CRNAP
• Desmond Tillmon
• Felix P Tiongco, M.D.
• Shannon Katherine Tipton, RESIDENT IN COUNSELI
• Tis Homecare, Inc
• Kristine Tiu
• Timothy Powell Tjersland, PSYD.
• Stephen See To, MD
• Ted A Tobey, M.D.

• Registered Nurse in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.