TYSON HANSON – NPI #1457976045
Respite Care

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

TYSON HANSON is a respite care facility located in SHELEY, ID. NPPES has assigned the NPI number 1457976045 to TYSON HANSON on June 10, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 385HR2060X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, Child

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TYSON HANSON below.

NPI Profile for
TYSON HANSON

NPI Number
1457976045
Enumeration Date

(about 6 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TYSON HANSON
Primary location
1496 N 1070 E
SHELEY, ID 83274
Phone: (208) 521-1837 Fax:
Mailing address
315 WIND RIVER DR
SHELLEY, ID 83274-2101
Phone: (208) 521-1837 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 10, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.