Active NPI
Avera Tyler
Doing business as Tyler Home Care
- Home Health Agency
- Tyler, MN
National Provider Identifier
1992759674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AVERA TYLER
- Doing business as
- Tyler Home Care
- Practice address
- 240 Willow St
Tyler, MN 56178-1166 - Phone
- (507) 247-5521
- Fax
- (507) 247-5972
- NPI assigned
- May 19, 2006
- Last updated
- Dec 2, 2022
- Organization subpart
- Yes
- Parent organization
- AVERA TYLER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Streier
- Title
- Ceo
- Phone
- (507) 537-9160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | MN | Primary |
Addresses
Primary practice location
240 Willow St
Tyler, MN 56178-1166
Mailing address
240 Willow St
Tyler, MN 56178-1166
Phone (507) 247-5521
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1889ATY | Other | MN | BLUE CROSS |
| 599245100 | Medicaid | MN |
Other names 1
- Tyler Home Care
National Provider Directory
National Provider Directory- Part of
- Avera Tyler
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Avera Medical Group Radiation Oncology Marshall
- Radiation Oncology Clinic/Center
- Marshall, MN
- NPI 1649688623
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1992759674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 WILLOW ST",
"city": "TYLER",
"state": "MN",
"postal_code": "561781166",
"telephone_number": "507-247-5521",
"fax_number": "507-247-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WILLOW ST",
"city": "TYLER",
"state": "MN",
"postal_code": "561781166",
"telephone_number": "507-247-5521",
"fax_number": "507-247-5972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERA TYLER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AVERA TYLER",
"enumeration_date": "2006-05-19",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "STREIER",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "507-537-9160"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1889ATY",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "599245100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tyler Home Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tyler Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tyler, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.