Healthcare Provider Details

I. General information

NPI: 1528523735
Provider Name (Legal Business Name): TYMSNOW INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2019
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 NEW KENSINGTON CT
WARRENTON VA
20187-8901
US

IV. Provider business mailing address

7100 NEW KENSINGTON CT
WARRENTON VA
20187-8901
US

V. Phone/Fax

Practice location:
  • Phone: 571-383-1121
  • Fax:
Mailing address:
  • Phone: 571-383-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES A SMITH JR.
Title or Position: CEO
Credential:
Phone: 571-383-1121