Provider Type Icon

TRYST PRIVATE HOMECARE INC NPI 1932540903


NPI Information

NPI: 1932540903
Provider Name: TRYST PRIVATE HOMECARE INC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
331 BLACK WILLOW CT
LOCUST GROVE, GA
ZIP 30248
Phone: (770) 598-7558
Get Directions

TRYST PRIVATE HOMECARE INC is a nursing care in Locust Grove, GA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. TRYST PRIVATE HOMECARE INC NPI is 1932540903. The provider is registered as an organization entity type.

The provider's business location address is:

331 BLACK WILLOW CT
LOCUST GROVE, GA
ZIP 30248-606
Phone: (770) 598-7558
Fax: (678) 432-5075

The provider's authorized official is Modupe Oluyemisi Salami .
The authorized official title is Ceo and has the following contact phone number (770) 598-7558.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 7/8/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing Care075-R-0884GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.