1992424634 NPI number — TYMA VENTURES, INC.

Table of content: (NPI 1992424634)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992424634 NPI number — TYMA VENTURES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TYMA VENTURES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
A BETTER SOLUTION IN HOME CARE SUMMERLIN
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992424634
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2675 S JONES BLVD STE 112
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89146-5607
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-765-0520
Provider Business Mailing Address Fax Number:
702-765-0578

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2675 S JONES BLVD STE 112
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89146-5607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-765-0520
Provider Business Practice Location Address Fax Number:
702-765-0578
Provider Enumeration Date:
08/25/2022

Additional Information

Authorized Official

Authorized Official Last Name:
CHRISTENSEN
Authorized Official First Name:
KENT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
725-577-6495

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: G70-02405 . This is a "CITY OF LAS VEGAS BUSINESS LICENSE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 10662-PCS-0 . This is a "STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: NV20212061580 . This is a "NEVADA STATE BUSINESS LICENSE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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