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

Tyra L Henderson

Individual provider Home Health Agency · NPI 1619554441

Tyra L Henderson is a Home Health Agency in Ayden, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

4521 S Edge Rd
Ayden, NC 28513-7119
Phone: (252) 864-1096
Fax: (252) 304-2103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1619554441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address4521 S Edge Rd, Ayden, NC 28513-7119

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