Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyson Home

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1699850016

Tyson Home is an Intellectual Disabilities Intermediate Care Facility in Vallejo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

624 Mini Dr
Vallejo, CA 94589-1735
Phone: (707) 553-2798
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X (CA)

Record details

NPI number1699850016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Cuizon — Medi-Cal Biller · (707) 812-0080
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 1425, Vallejo, CA 94590-0142