Simmons, Tyshana

Simmons, Tyshana is an sole proprietor health care provider with primary practice located at 19 8Th St S # 832 , Fargo ND 58103-1804. She recently has 8 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Home Health Aide, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Simmons, Tyshana can be contacted via phone (478) 569-7775.

Contact Information

Primary practice address
19 8Th St S # 832 Fargo ND 58103-1804
Phone: (478) 569-7775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Nursing Service Related Providers / Home Health Aide 374U00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1437847126
LBN Legal business name Simmons, Tyshana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2023
Last updated May 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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