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TYRA L HENDERSON
NPI 1619554441
Home Health in Ayden, NC

Active since March 26, 2021
4521 S EDGE RD, AYDEN, NC 28513(252) 864-1096(252) 304-2103 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyra L Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRA L HENDERSON (NPI 1619554441) is an individual home health provider in Ayden, North Carolina and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1619554441
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameTYRA L HENDERSON
Location Address4521 S EDGE RDAyden, NC 28513-7119
Mailing Address4521 S Edge RdAyden, NC 28513-7119 · (252) 864-1096 · Fax (252) 304-2103
Phone(252) 864-1096
Fax(252) 304-2103
Sole ProprietorYes
Enumeration DateMarch 26, 2021
NPPES CertifiedMarch 26, 2021
✔ NPI 1619554441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
4521 S EDGE RD, Ayden, NC 28513
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyra Henderson's NPI number?

The NPI number for Tyra Henderson is 1619554441. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Tyra Henderson located?

Tyra Henderson practices at 4521 S Edge Rd, Ayden, NC 28513. The listed phone number is (252) 864-1096.

What is Tyra Henderson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Tyra Henderson was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.