Organization Active NPI

Tyrrell Adult Care

  • Adult Care Home Facility
  • Beaumont, TX
National Provider Identifier
1891754222
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
TYRRELL ADULT CARE
Practice address
5733 Mel Sha LN
Beaumont, TX 77705-6806
Phone
(409) 350-9933
Fax
(409) 840-9435
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Mrs. Eppie B Hill, OWNER
Title
Supervisor
Phone
(409) 350-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

5733 Mel Sha LN
Beaumont, TX 77705-6806

Mailing address

5733 Mel Sha LN
Beaumont, TX 77705-6806
Phone (409) 350-9933

Other names 1

  • Tyrrell Adult Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1891754222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5733 MEL SHA LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056806",
            "telephone_number": "409-350-9933",
            "fax_number": "409-840-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5733 MEL SHA LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056806",
            "telephone_number": "409-350-9933",
            "fax_number": "409-840-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRRELL ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "EPPIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "409-350-9933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyrrell Adult Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.