Tenna Shu Palace, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

TENNA SHU PALACE, LLC

Practice address

1822 N 33Rd St
Omaha, NE 68111-4108

Phone

(402) 215-3822

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Tyrone V Hayes

Title

Owner

Phone

(402) 215-3822

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1992355291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N 33RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681114108",
            "telephone_number": "402-215-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 N 33RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681114108",
            "telephone_number": "402-215-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNA SHU PALACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-215-3822"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tyrone@tennashupalace.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1822 N 33rd St",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681114108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Michael Paul Teneyck
• Virgina Teneyck
• Brianna Joelle Tenhoff, APRN
• Sarah Leigh Tennant, PTA, WCC
• Cedriannah Tenner
• Laura L Tenner, MD
• Dagbegnon Gustave Tenonto
• Nicole L Tenski, MA, PLMHP

• Customized Equipment (DME) in Omaha, NE
• Providers in Omaha, NE by specialty
• Customized Equipment (DME) in Nebraska

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