Provider Demographics
NPI:1235013228
Name:TKYRA HALL
Entity type:Organization
Organization Name:TKYRA HALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DSP DIRECT SUPPORT SPEFCALIST.
Authorized Official - Prefix:
Authorized Official - First Name:TKYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:513-953-2900
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:513-444-6733
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle