Provider Demographics
NPI:1053627752
Name:TOMI'S CARING HANDS SENIOR SERVICES
Entity Type:Organization
Organization Name:TOMI'S CARING HANDS SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TOMMIE
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:BELL-BURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-891-1570
Mailing Address - Street 1:1950 MILAM ST
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-5217
Mailing Address - Country:US
Mailing Address - Phone:817-891-1570
Mailing Address - Fax:817-451-8173
Practice Address - Street 1:1950 MILAM ST
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-5217
Practice Address - Country:US
Practice Address - Phone:817-891-1570
Practice Address - Fax:817-451-8173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNA08234421310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX09659715OtherDRIVER'S LICENSE