Provider Demographics
NPI:1124779590
Name:TYSON'S HELPING HANDS HOME AND COMPANION CARE SERVICES. LLC
Entity type:Organization
Organization Name:TYSON'S HELPING HANDS HOME AND COMPANION CARE SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-286-2725
Mailing Address - Street 1:915 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-1613
Mailing Address - Country:US
Mailing Address - Phone:269-286-2725
Mailing Address - Fax:
Practice Address - Street 1:915 HAZEL ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-1613
Practice Address - Country:US
Practice Address - Phone:269-286-2725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TYSON'S HELPING HANDS HOME AND COMPANION CARE SERVICES. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health