Provider Demographics
NPI:1184514929
Name:HALL, TKYRA (STNA)
Entity type:Individual
Prefix:
First Name:TKYRA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-5721
Mailing Address - Country:US
Mailing Address - Phone:513-953-2900
Mailing Address - Fax:
Practice Address - Street 1:251 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-5721
Practice Address - Country:US
Practice Address - Phone:513-953-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No174200000XOther Service ProvidersMeals
No251J00000XAgenciesNursing Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty